MEDICARE: MR. QIANG LI LAC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	171100000X	Acupuncturist	1175	NY

General Provider Information

NPI Number	:	1811065568
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MR. QIANG LI LAC

Provider Business Mailing Address
First Line	:	8576 67TH RD
Second Line	:
City	:	REGO PARK
State	:	NY
Zip	:	11374-5216
Country	:	US
Telephone Number	:	718-850-5384
Fax Number	:

Provider Business Practice Location Address
First Line	:	8576 67TH RD
Second Line	:
City	:	REGO PARK
State	:	NY
Zip	:	11374-5216
Country	:	US
Telephone Number	:	718-850-5384
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	12/01/2006
Last Update Date	:	05/17/2014

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Directions to “ MR. QIANG LI LAC” Practice Location

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