Healthcare Provider Details

I. General information

NPI: 1528739307
Provider Name (Legal Business Name): ZHULI JIN ACUPUCTURE, P.C
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 09/22/2021
Last Update Date: 09/22/2021
Certification Date: 09/22/2021
Deactivation Date:
Reactivation Date:

III. Provider practice location address

535 BROADHOLLOW RD STE B12
MELVILLE NY
11747-3701
US

IV. Provider business mailing address

23927 65TH AVE
LITTLE NECK NY
11362-1918
US

V. Phone/Fax

Practice location:
  • Phone: 631-626-9299
  • Fax: 631-693-3399
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code171100000X
TaxonomyAcupuncturist
License Number
License Number State

VIII. Authorized Official

Name: ZHULI JIN
Title or Position: OWNER
Credential:
Phone: 718-962-4466