=====================================================
General NPI Number Information
=====================================================
NPI Number | 1336598697
-----------------------------------------------------
Entity Type | Organization
-----------------------------------------------------
Legal Business Name | POST ACUPUNCTURE, PC
-----------------------------------------------------
=====================================================
Dates
=====================================================
Enumeration Date | 06/08/2016
-----------------------------------------------------
Last Update Date | 06/08/2016
-----------------------------------------------------
=====================================================
Provider Practice Location Address
=====================================================
Address Line | 3314 212TH ST
-----------------------------------------------------
City | BAYSIDE
-----------------------------------------------------
State | NY
-----------------------------------------------------
Zip | 11361-1529
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 646-591-0684
-----------------------------------------------------
Fax |
-----------------------------------------------------
=====================================================
Provider Business Mailing Address
=====================================================
Address Line | 320 POST AVE SUITE 100
-----------------------------------------------------
City | WESTBURY
-----------------------------------------------------
State | NY
-----------------------------------------------------
Zip | 11590-2257
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone |
-----------------------------------------------------
Fax |
-----------------------------------------------------
=====================================================
Authorized Official
=====================================================
Title or Position | PRESIDENT
-----------------------------------------------------
Name | DR. FAI CHU
-----------------------------------------------------
Credential |
-----------------------------------------------------
Telephone | 646-591-0684
-----------------------------------------------------
=====================================================
Scope of Practice (Provider's specialty)
=====================================================
Taxonomy #1
-----------------------------------------------------
Taxonomy Code | 171100000X
-----------------------------------------------------
Taxonomy Name | Acupuncturist
-----------------------------------------------------
License Number | 002041
-----------------------------------------------------
License Number State | NY
-----------------------------------------------------