Healthcare Provider Details

I. General information

NPI: 1992408199
Provider Name (Legal Business Name): CHONG ACUPUNCTURE P.C.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 03/24/2023
Last Update Date: 04/26/2025
Certification Date: 04/26/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

99 JERICHO TPKE STE 304
JERICHO NY
11753-1015
US

IV. Provider business mailing address

155 WESTWOOD DR APT 172
WESTBURY NY
11590-1627
US

V. Phone/Fax

Practice location:
  • Phone: 516-888-0868
  • Fax: 516-363-4566
Mailing address:
  • Phone: 347-506-5816
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code171100000X
TaxonomyAcupuncturist
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code225700000X
TaxonomyMassage Therapist
License Number
License Number State

VIII. Authorized Official

Name: CHONG ZHAO
Title or Position: ACUPUNCTURIST
Credential: LAC
Phone: 347-506-5816