Healthcare Provider Details

I. General information

NPI: 1033028683
Provider Name (Legal Business Name): JOYCE WONG ACUPUNCTURE PLLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 09/01/2026
Last Update Date: 09/01/2026
Certification Date: 09/01/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2 WHITNEY RD
BAYVILLE NY
11709-2407
US

IV. Provider business mailing address

2 WHITNEY RD
BAYVILLE NY
11709-2407
US

V. Phone/Fax

Practice location:
  • Phone: 516-476-8286
  • Fax:
Mailing address:
  • Phone: 516-476-8286
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

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

VIII. Authorized Official

Name: MRS. JOYCE S WONG
Title or Position: SOLE MEMBER
Credential: L.AC, NP-C
Phone: 516-476-8286