Healthcare Provider Details

I. General information

NPI: 1457052045
Provider Name (Legal Business Name): MEIXIAN HUANG L.AC., LMT
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 03/13/2023
Last Update Date: 01/11/2025
Certification Date: 01/11/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

14 E 4TH ST RM 604
NEW YORK NY
10012-1141
US

IV. Provider business mailing address

14 E 4TH ST RM 604
NEW YORK NY
10012-1141
US

V. Phone/Fax

Practice location:
  • Phone: 332-334-9921
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code225700000X
TaxonomyMassage Therapist
License Number033437
License Number StateNY
# 2
Primary TaxonomyY
Taxonomy Code171100000X
TaxonomyAcupuncturist
License Number007269
License Number StateNY

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: