Healthcare Provider Details

I. General information

NPI: 1922400241
Provider Name (Legal Business Name): MEI WANG ACUPUNCTURIST
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 09/17/2014
Last Update Date: 09/22/2026
Certification Date: 09/22/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

45 HILL PARK AVE APT 3E
GREAT NECK NY
11021-3717
US

IV. Provider business mailing address

45 HILL PARK AVE APT 3E
GREAT NECK NY
11021-3717
US

V. Phone/Fax

Practice location:
  • Phone: 917-497-8094
  • Fax:
Mailing address:
  • Phone: 917-497-8094
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code171100000X
TaxonomyAcupuncturist
License Number005426
License Number StateNY

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: