Healthcare Provider Details

I. General information

NPI: 1407638786
Provider Name (Legal Business Name): MENG WEI ACUPUNCTURE PLLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 10/19/2023
Last Update Date: 10/19/2023
Certification Date: 10/19/2023
Deactivation Date:
Reactivation Date:

III. Provider practice location address

315 MADISON AVE RM 1805
NEW YORK NY
10017-5418
US

IV. Provider business mailing address

450 LEXINGTON AVE UNIT 586
NEW YORK NY
10163-9618
US

V. Phone/Fax

Practice location:
  • Phone: 929-389-5969
  • Fax:
Mailing address:
  • Phone: 929-389-5969
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code171100000X
TaxonomyAcupuncturist
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code225100000X
TaxonomyPhysical Therapist
License Number
License Number State

VIII. Authorized Official

Name: MS. JADE LOR
Title or Position: MANAGER
Credential:
Phone: 929-389-5969