Healthcare Provider Details

I. General information

NPI: 1992828792
Provider Name (Legal Business Name): HAIFENG HUANG L. AC.
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 04/08/2007
Last Update Date: 09/17/2013
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

8318 CORNISH AVE
ELMHURST NY
11373-3754
US

IV. Provider business mailing address

4022 COLLEGE POINT BLVD, APT10L
FLUSHING NY
11354-5115
US

V. Phone/Fax

Practice location:
  • Phone: 718-779-8880
  • Fax: 718-779-8887
Mailing address:
  • Phone: 718-833-8337
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code171100000X
TaxonomyAcupuncturist
License Number000573
License Number StateNY

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: