Healthcare Provider Details

I. General information

NPI: 1649349143
Provider Name (Legal Business Name): KINGS ACUPUNCTURE & WELLNESS CENTER
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 11/07/2006
Last Update Date: 02/05/2009
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

5859 TRANSIT ROAD
E AMHERST NY
14051-1885
US

IV. Provider business mailing address

5859 TRANSIT RD
EAST AMHERST NY
14051-1885
US

V. Phone/Fax

Practice location:
  • Phone: 716-688-1768
  • Fax: 716-688-1768
Mailing address:
  • Phone: 716-688-1768
  • Fax: 716-688-1768

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code111N00000X
TaxonomyChiropractor
License NumberX008140-2
License Number StateNY
# 2
Primary TaxonomyN
Taxonomy Code133N00000X
TaxonomyNutritionist
License Number
License Number State
# 3
Primary TaxonomyY
Taxonomy Code171100000X
TaxonomyAcupuncturist
License Number
License Number State
# 4
Primary TaxonomyN
Taxonomy Code225700000X
TaxonomyMassage Therapist
License Number
License Number State

VIII. Authorized Official

Name: DR. HERBERT K LAU
Title or Position: OWNER
Credential: LAC PHD
Phone: 716-688-1768