Healthcare Provider Details

I. General information

NPI: 1275806499
Provider Name (Legal Business Name): YING NATURAL HEALTH
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 02/18/2012
Last Update Date: 02/18/2012
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1264 LEXINGTON AVE 2N
NEW YORK NY
10028-2064
US

IV. Provider business mailing address

1264 LEXINGTON AVE 2N
NEW YORK NY
10028-2064
US

V. Phone/Fax

Practice location:
  • Phone: 212-996-2988
  • Fax:
Mailing address:
  • Phone: 212-996-2988
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code305S00000X
TaxonomyPoint of Service
License Number002595
License Number StateNY
# 2
Primary TaxonomyY
Taxonomy Code302R00000X
TaxonomyHealth Maintenance Organization
License Number002595
License Number StateNY

VIII. Authorized Official

Name: DR. LINA ZHAO
Title or Position: ACUPUNCTURIST
Credential: OMD
Phone: 212-996-2988