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General NPI Number Information
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NPI Number | 1639025513
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Entity Type | Organization
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Legal Business Name | QINGSHAN F ACUPUNCUTRE P.C.
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Dates
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Enumeration Date | 03/04/2026
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Last Update Date | 03/04/2026
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Provider Practice Location Address
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Address Line | 2 HILLSIDE AVE STE E
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City | WILLISTON PARK
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State | NY
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Zip | 11596-2308
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Country | US
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Telephone | 917-518-0679
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Fax |
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Provider Business Mailing Address
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Address Line | 5701 223RD ST FL 2
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City | OAKLAND GARDENS
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State | NY
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Zip | 11364-1935
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Country | US
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Telephone | 917-518-0679
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Fax |
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Authorized Official
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Title or Position | PRISDENT
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Name | QINGSHAN FENG
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Credential | DAOM
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Telephone | 917-518-0679
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 225700000X
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Taxonomy Name | Massage Therapist
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 171100000X
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Taxonomy Name | Acupuncturist
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License Number |
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License Number State |
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