Healthcare Provider Details

I. General information

NPI: 1982995387
Provider Name (Legal Business Name): GRAMERCY ACUPUNCTURE PC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 04/20/2011
Last Update Date: 04/20/2011
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

205 3RD AVE
NEW YORK NY
10003-2506
US

IV. Provider business mailing address

205 3RD AVE
NEW YORK NY
10003-2506
US

V. Phone/Fax

Practice location:
  • Phone: 212-677-6682
  • Fax: 212-677-6969
Mailing address:
  • Phone: 212-677-6682
  • Fax: 212-677-6969

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code171100000X
TaxonomyAcupuncturist
License Number002059
License Number StateNY

VIII. Authorized Official

Name: MS. LAP TSUI
Title or Position: LICENSED ACUPUNCTURIST
Credential:
Phone: 212-677-6682