=====================================================
General NPI Number Information
=====================================================
NPI Number | 1558153288
-----------------------------------------------------
Entity Type | Organization
-----------------------------------------------------
Legal Business Name | HENG JIN ACUPUNCTURE P.C
-----------------------------------------------------
=====================================================
Dates
=====================================================
Enumeration Date | 05/19/2025
-----------------------------------------------------
Last Update Date | 05/19/2025
-----------------------------------------------------
=====================================================
Provider Practice Location Address
=====================================================
Address Line | 871 59TH ST # 1F
-----------------------------------------------------
City | BROOKLYN
-----------------------------------------------------
State | NY
-----------------------------------------------------
Zip | 11220-3611
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 917-870-7797
-----------------------------------------------------
Fax | 718-801-8458
-----------------------------------------------------
=====================================================
Provider Business Mailing Address
=====================================================
Address Line | 2518 123RD ST
-----------------------------------------------------
City | FLUSHING
-----------------------------------------------------
State | NY
-----------------------------------------------------
Zip | 11354-1031
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 646-725-6666
-----------------------------------------------------
Fax |
-----------------------------------------------------
=====================================================
Authorized Official
=====================================================
Title or Position | ACUPUNCTURIST
-----------------------------------------------------
Name | MRS. HENG J LI
-----------------------------------------------------
Credential |
-----------------------------------------------------
Telephone | 646-725-6666
-----------------------------------------------------
=====================================================
Scope of Practice (Provider's specialty)
=====================================================
Taxonomy #1
-----------------------------------------------------
Taxonomy Code | 171100000X
-----------------------------------------------------
Taxonomy Name | Acupuncturist
-----------------------------------------------------
License Number |
-----------------------------------------------------
License Number State |
-----------------------------------------------------