Healthcare Provider Details
I. General information
NPI: 1548074354
Provider Name (Legal Business Name): HAN MERIDIAN ACUPUNCTURE P.C.
Entity Type: Organization
Gender:
Sole Proprietor:
II. Dates (important events)
Enumeration Date: 02/03/2025
Last Update Date: 02/03/2025
Certification Date: 02/03/2025
Deactivation Date:
Reactivation Date:
III. Provider practice location address
3838 147TH ST
FLUSHING NY
11354-4721
US
IV. Provider business mailing address
3838 147TH ST
FLUSHING NY
11354-4721
US
V. Phone/Fax
- Phone: 646-228-5143
- Fax:
- Phone: 646-228-5143
- Fax:
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 171100000X |
| Taxonomy | Acupuncturist |
| License Number | |
| License Number State | |
| # 2 | |
| Primary Taxonomy | N |
| Taxonomy Code | 225100000X |
| Taxonomy | Physical Therapist |
| License Number | |
| License Number State | |
| # 3 | |
| Primary Taxonomy | N |
| Taxonomy Code | 225700000X |
| Taxonomy | Massage Therapist |
| License Number | |
| License Number State | |
VIII. Authorized Official
Name: MS.
MEILING
HAN
Title or Position: PRESIDENT/CEO
Credential: L.AC
Phone: 646-228-5143