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NPI Code Detail

MEDICARE: EVOLVE ACUPUNCTURE & WELLNESS LLC

MEDICARE: EVOLVE ACUPUNCTURE & WELLNESS LLC
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1171100000XAcupuncturist

General Provider Information

NPI Number : 1013490572
Entity Type Code : Organization
Provider Name (Legal Business Name) : EVOLVE ACUPUNCTURE & WELLNESS LLC
Provider Business Mailing Address
First Line : 233 BROADWAY RM 2750
Second Line :
City : NEW YORK
State : NY
Zip : 10279-2704
Country : US
Telephone Number : 917-277-7640
Fax Number : 917-277-7638
Provider Business Practice Location Address
First Line : 233 BROADWAY RM 2750
Second Line :
City : NEW YORK
State : NY
Zip : 10279-2704
Country : US
Telephone Number : 917-277-7640
Fax Number : 917-277-7638
Authorized Official
Title or Position : OWNER
Name : DR. CHRISTY TZUYING CHIANG
Credential : L.AC
Telephone Number : 917-277-7640
Provider Enumeration Date : 09/11/2018
Last Update Date : 08/09/2023

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Directions to “EVOLVE ACUPUNCTURE & WELLNESS LLC ” Practice Location

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