Healthcare Provider Details
I. General information
NPI: 1326019209
Provider Name (Legal Business Name): YINGAI PIAO ACUPUNCTURIST
Entity Type: Individual
Gender: Female
Sole Proprietor: N
II. Dates (important events)
Enumeration Date: 01/30/2006
Last Update Date: 02/07/2011
Certification Date:
Deactivation Date:
Reactivation Date:
III. Provider practice location address
7300 OLD YORK RD Y & B ACUPUNCTURE CLINIC, INC
ELKINS PARK PA
19027-3037
US
IV. Provider business mailing address
7300 OLD YORK RD SUITE 202
ELKINS PARK PA
19027-3037
US
V. Phone/Fax
- Phone: 215-782-3779
- Fax: 215-782-3887
- Phone: 215-782-3779
- Fax: 215-782-3887
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 171100000X |
| Taxonomy | Acupuncturist |
| License Number | OM 00000024 |
| License Number State | PA |
VIII. Authorized Official
Name:
Title or Position:
Credential:
Phone: