Healthcare Provider Details

I. General information

NPI: 1225712276
Provider Name (Legal Business Name): WELLNESS CARE ACUPUNCTURE PC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 06/12/2023
Last Update Date: 06/12/2023
Certification Date: 06/11/2023
Deactivation Date:
Reactivation Date:

III. Provider practice location address

969 CHURCH ST
BALDWIN NY
11510-4225
US

IV. Provider business mailing address

969 CHURCH ST
BALDWIN NY
11510-4225
US

V. Phone/Fax

Practice location:
  • Phone: 516-442-3142
  • Fax:
Mailing address:
  • Phone: 516-442-3142
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code171100000X
TaxonomyAcupuncturist
License Number
License Number State

VII. Legacy identifiers

For crosswalk purposes, the following legacy (non-NPI) identifiers are available for this provider:

VIII. Authorized Official

Name: FENG YU LIU
Title or Position: PRESIDENT
Credential: L.AC
Phone: 347-271-0313