Healthcare Provider Details

I. General information

NPI: 1306679899
Provider Name (Legal Business Name): QINGLIANG ACUPUNCTURE PC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 08/21/2024
Last Update Date: 05/28/2026
Certification Date: 05/28/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

13324 SANFORD AVE APT 1K
FLUSHING NY
11355-3618
US

IV. Provider business mailing address

13324 SANFORD AVE APT 1K
FLUSHING NY
11355-3618
US

V. Phone/Fax

Practice location:
  • Phone: 646-262-5635
  • Fax:
Mailing address:
  • Phone: 646-262-5635
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

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

VIII. Authorized Official

Name: MATTHEW LEE
Title or Position: AUTHORIZED OFFICIAL/OWNER
Credential:
Phone: 646-262-5635