Healthcare Provider Details

I. General information

NPI: 1306676721
Provider Name (Legal Business Name): 12 MERIDIANS ACUPUNCTURE P.C.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 08/02/2024
Last Update Date: 08/02/2024
Certification Date: 08/02/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

125 KINGS HWY
BROOKLYN NY
11223-1068
US

IV. Provider business mailing address

1125 BANNER AVE APT 8C
BROOKLYN NY
11235-5263
US

V. Phone/Fax

Practice location:
  • Phone: 917-420-2820
  • Fax:
Mailing address:
  • Phone: 917-971-4428
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

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

VIII. Authorized Official

Name: VICTORIA LAPCHUK
Title or Position: CEO
Credential: L. AC.
Phone: 917-420-2820