MEDICARE: XIAO WEN ACUPUNCTURE PC

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	004817	NY
2	171100000X	Acupuncturist	004821	NY
3	171100000X	Acupuncturist	004744	NY

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	1528309192	OTHER	NY	ACUPUNCTURE PC
2	1184987067	OTHER	NY	ACUPUNCTURE PC
3	1023378692	OTHER	NY	ACUPUNCTURE PC

General Provider Information

NPI Number	:	1871967224
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	XIAO WEN ACUPUNCTURE PC

Provider Business Mailing Address
First Line	:	363 7TH AVE
Second Line	:	#1501
City	:	NEW YORK
State	:	NY
Zip	:	10001-3904
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	363 7TH AVE
Second Line	:	#1501
City	:	NEW YORK
State	:	NY
Zip	:	10001-3904
Country	:	US
Telephone Number	:	212-643-8899
Fax Number	:

Authorized Official
Title or Position	:	PRESIDENT/LAC
Name	:	MS. XIAOHONG ZHAO
Credential	:
Telephone Number	:	212-643-8899

Provider Enumeration Date	:	11/23/2015
Last Update Date	:	11/23/2015

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Directions to “XIAO WEN ACUPUNCTURE PC ” Practice Location

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