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General NPI Number Information
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NPI Number | 1790649820
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Entity Type | Organization
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Legal Business Name | LONG ISLAND WELLNESS ACUPUNCTURE, P.C.
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Dates
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Enumeration Date | 12/12/2025
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Last Update Date | 12/12/2025
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Provider Practice Location Address
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Address Line | 22 PARK PL STE C
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City | GREAT NECK PLAZA
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State | NY
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Zip | 11021-5012
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Country | US
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Telephone | 646-581-8186
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Fax | 516-604-3137
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Provider Business Mailing Address
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Address Line | 20 CHAPEL PL APT 1J
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City | GREAT NECK
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State | NY
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Zip | 11021-1406
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Country | US
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Telephone | 646-581-8186
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Fax | 516-604-3137
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Authorized Official
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Title or Position | OWNER
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Name | SHENGNAN XING
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Credential | L.AC
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Telephone | 646-581-8186
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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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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