Healthcare Provider Details
I. General information
NPI: 1023482478
Provider Name (Legal Business Name): DAO ACUPUNCTURE PC
Entity Type: Organization
Gender:
Sole Proprietor:
II. Dates (important events)
Enumeration Date: 11/23/2015
Last Update Date: 11/23/2015
Certification Date:
Deactivation Date:
Reactivation Date:
III. Provider practice location address
353 LEXINGTON AVE #1205
NEW YORK NY
10016-0941
US
IV. Provider business mailing address
353 LEXINGTON AVE #1205
NEW YORK NY
10016-0941
US
V. Phone/Fax
- Phone: 212-661-0888
- Fax:
- Phone:
- Fax:
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 171100000X |
| Taxonomy | Acupuncturist |
| License Number | |
| License Number State | |
VIII. Authorized Official
Name: MR.
WEN
LIN
Title or Position: PRESIDENT/LAC
Credential:
Phone: 212-643-8899