Healthcare Provider Details

I. General information

NPI: 1245565456
Provider Name (Legal Business Name): XINHUI LIU L.AC
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 10/05/2009
Last Update Date: 10/05/2009
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

52 E BROADWAY APT 502
NEW YORK NY
10002-6875
US

IV. Provider business mailing address

52 E BROADWAY APT 502
NEW YORK NY
10002-6875
US

V. Phone/Fax

Practice location:
  • Phone: 212-966-2201
  • Fax:
Mailing address:
  • Phone: 212-966-2201
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code171100000X
TaxonomyAcupuncturist
License Number000946
License Number StateNY

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: