=====================================================
General NPI Number Information
=====================================================
NPI Number | 1952433468
-----------------------------------------------------
Entity Type | Organization
-----------------------------------------------------
Legal Business Name | WAN-MEI WOO
-----------------------------------------------------
=====================================================
Dates
=====================================================
Enumeration Date | 03/10/2007
-----------------------------------------------------
Last Update Date | 08/22/2020
-----------------------------------------------------
=====================================================
Provider Practice Location Address
=====================================================
Address Line | 4151 77TH ST STE 1F
-----------------------------------------------------
City | ELMHURST
-----------------------------------------------------
State | NY
-----------------------------------------------------
Zip | 11373-1935
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 718-458-6391
-----------------------------------------------------
Fax | 718-429-5928
-----------------------------------------------------
=====================================================
Provider Business Mailing Address
=====================================================
Address Line | 4151 77TH ST STE 1F
-----------------------------------------------------
City | ELMHURST
-----------------------------------------------------
State | NY
-----------------------------------------------------
Zip | 11373-1935
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 718-458-6391
-----------------------------------------------------
Fax | 718-429-5928
-----------------------------------------------------
=====================================================
Authorized Official
=====================================================
Title or Position | OWNER
-----------------------------------------------------
Name | MS. WAN MEI WOO
-----------------------------------------------------
Credential | L. AC.
-----------------------------------------------------
Telephone | 718-458-6391
-----------------------------------------------------
=====================================================
Scope of Practice (Provider's specialty)
=====================================================
Taxonomy #1
-----------------------------------------------------
Taxonomy Code | 171100000X
-----------------------------------------------------
Taxonomy Name | Acupuncturist
-----------------------------------------------------
License Number | 0199
-----------------------------------------------------
License Number State | NY
-----------------------------------------------------