Healthcare Provider Details

I. General information

NPI: 1669747713
Provider Name (Legal Business Name): CHINESE NATURAL CENTER INC.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 03/21/2012
Last Update Date: 03/21/2012
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

131 SUNRISE HWY STE B
LINDENHURST NY
11757-2541
US

IV. Provider business mailing address

131 SUNRISE HWY STE B
LINDENHURST NY
11757-2541
US

V. Phone/Fax

Practice location:
  • Phone: 631-321-9888
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code171100000X
TaxonomyAcupuncturist
License Number000412
License Number StateNY

VIII. Authorized Official

Name: FUMEI ZHANG
Title or Position: MANAGER
Credential:
Phone: 631-321-9888