Healthcare Provider Details

I. General information

NPI: 1083483655
Provider Name (Legal Business Name): ACUPUNCTURE PROFESSIONAL HEALTH CARE PLLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 12/25/2023
Last Update Date: 12/25/2023
Certification Date: 12/23/2023
Deactivation Date:
Reactivation Date:

III. Provider practice location address

5444 LITTLE NECK PKWY STE 3
LITTLE NECK NY
11362-2211
US

IV. Provider business mailing address

5444 LITTLE NECK PKWY STE 3
LITTLE NECK NY
11362-2211
US

V. Phone/Fax

Practice location:
  • Phone: 347-925-3215
  • Fax:
Mailing address:
  • Phone:
  • 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: HONGXIA HU
Title or Position: MANAGER
Credential:
Phone: 718-877-6999