Healthcare Provider Details

I. General information

NPI: 1568372290
Provider Name (Legal Business Name): LILLIAN LUU-VALDEZ
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 09/08/2026
Last Update Date: 09/08/2026
Certification Date: 09/07/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

353 LEXINGTON AVE RM 1500
NEW YORK NY
10016-0941
US

IV. Provider business mailing address

11132 126TH ST
SOUTH OZONE PARK NY
11420-1511
US

V. Phone/Fax

Practice location:
  • Phone: 347-315-7078
  • Fax:
Mailing address:
  • Phone: 347-315-7078
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code225700000X
TaxonomyMassage Therapist
License Number033549
License Number StateNY
# 2
Primary TaxonomyY
Taxonomy Code171100000X
TaxonomyAcupuncturist
License Number007977
License Number StateNY

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: