Healthcare Provider Details

I. General information

NPI: 1003603994
Provider Name (Legal Business Name): HLA NY CORPORATION
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 04/23/2025
Last Update Date: 04/23/2025
Certification Date: 04/15/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

171 GLEN COVE RD
CARLE PLACE NY
11514
US

IV. Provider business mailing address

PO BOX 222169
GREAT NECK NY
11022-2169
US

V. Phone/Fax

Practice location:
  • Phone: 347-825-8532
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

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

VIII. Authorized Official

Name: HUI-LI TSO
Title or Position: ACUPUNCTURIST
Credential:
Phone: 646-824-0580