Healthcare Provider Details

I. General information

NPI: 1134681414
Provider Name (Legal Business Name): WORK IN PROGRESS ACUPUNCTURE STUDIO, P.C.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 04/04/2019
Last Update Date: 12/17/2020
Certification Date: 12/17/2020
Deactivation Date:
Reactivation Date:

III. Provider practice location address

162 W 56TH ST STE 205
NEW YORK NY
10019-8009
US

IV. Provider business mailing address

56 PINE ST APT 4E
NEW YORK NY
10005-1538
US

V. Phone/Fax

Practice location:
  • Phone: 212-547-9477
  • 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: ERIN LEE
Title or Position: CEO
Credential:
Phone: 201-787-9775