=====================================================
General NPI Number Information
=====================================================
NPI Number | 1063537322
-----------------------------------------------------
Entity Type | Individual
-----------------------------------------------------
Provider Name | MENG XIANG WEI
-----------------------------------------------------
Gender | Male
-----------------------------------------------------
=====================================================
Dates
=====================================================
Enumeration Date | 03/19/2007
-----------------------------------------------------
Last Update Date | 07/08/2007
-----------------------------------------------------
=====================================================
Provider Practice Location Address
=====================================================
Address Line | 8509 18TH AVE 2ND FLOOR
-----------------------------------------------------
City | BROOKLYN
-----------------------------------------------------
State | NY
-----------------------------------------------------
Zip | 11214-2912
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 718-331-0347
-----------------------------------------------------
Fax |
-----------------------------------------------------
=====================================================
Provider Business Mailing Address
=====================================================
Address Line | 61 W CLAY AVE
-----------------------------------------------------
City | ROSELLE PARK
-----------------------------------------------------
State | NJ
-----------------------------------------------------
Zip | 07204-1930
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 917-628-6000
-----------------------------------------------------
Fax |
-----------------------------------------------------
=====================================================
Authorized Official
=====================================================
Title or Position |
-----------------------------------------------------
Name |
-----------------------------------------------------
Credential |
-----------------------------------------------------
Telephone |
-----------------------------------------------------
=====================================================
Scope of Practice (Provider's specialty)
=====================================================
Taxonomy #1
-----------------------------------------------------
Taxonomy Code | 171100000X
-----------------------------------------------------
Taxonomy Name | Acupuncturist
-----------------------------------------------------
License Number | 002659
-----------------------------------------------------
License Number State | NY
-----------------------------------------------------