Healthcare Provider Details

I. General information

NPI: 1184556458
Provider Name (Legal Business Name): EMAN MA LAC
Entity Type: Individual
Gender: Female
Sole Proprietor: N

Provider Other Name: ANGEL MA LAC

II. Dates (important events)

Enumeration Date: 06/01/2026
Last Update Date: 06/01/2026
Certification Date: 06/01/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

181 LEXINGTON AVE
BROOKLYN NY
11216-6446
US

IV. Provider business mailing address

181 LEXINGTON AVE
BROOKLYN NY
11216-6446
US

V. Phone/Fax

Practice location:
  • Phone: 646-820-0049
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code171100000X
TaxonomyAcupuncturist
License Number00793301
License Number StateNY

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: