Healthcare Provider Details
I. General information
NPI: 1962338038
Provider Name (Legal Business Name): ACUPUNCTURE FACILITY P.C.
Entity Type: Organization
Gender:
Sole Proprietor:
II. Dates (important events)
Enumeration Date: 06/18/2026
Last Update Date: 06/18/2026
Certification Date: 06/18/2026
Deactivation Date:
Reactivation Date:
III. Provider practice location address
13324 SANFORD AVE APT 1K
FLUSHING NY
11355-3618
US
IV. Provider business mailing address
9411 59TH AVE APT A9
ELMHURST NY
11373-5101
US
V. Phone/Fax
- Phone: 646-387-3893
- Fax: 917-634-8939
- Phone: 646-387-3893
- Fax: 917-634-8938
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 171100000X |
| Taxonomy | Acupuncturist |
| License Number | |
| License Number State | |
VIII. Authorized Official
Name:
FENGXIA
LI
Title or Position: PRESIDENT
Credential: L.AC
Phone: 646-387-3893