MEDICARE: SHANGHAI ACUPUNCTURE PC

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
1	171100000X	Acupuncturist	000547-1	NY

General Provider Information

NPI Number	:	1235277914
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	SHANGHAI ACUPUNCTURE PC

Provider Business Mailing Address
First Line	:	152 E POST RD
Second Line	:
City	:	WHITE PLAINS
State	:	NY
Zip	:	10601-5202
Country	:	US
Telephone Number	:	914-328-3474
Fax Number	:	914-509-2604

Provider Business Practice Location Address
First Line	:	333 MAMARONECK AVE # 206
Second Line	:
City	:	WHITE PLAINS
State	:	NY
Zip	:	10605-1440
Country	:	US
Telephone Number	:	914-328-3474
Fax Number	:	914-509-2604

Authorized Official
Title or Position	:	PRESIDENT
Name	:	MR. ALAN B. HANDELSMAN
Credential	:	LIC. AC.
Telephone Number	:	914-328-3474

Provider Enumeration Date	:	02/02/2007
Last Update Date	:	08/22/2020

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