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NPI Code Detail

MEDICARE: RUI LIAN HE L.AC.

MEDICARE:   RUI LIAN HE  L.AC.
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
1171100000XAcupuncturist000584NY

General Provider Information

NPI Number : 1295956837
Entity Type Code : Individual
Provider Name (Legal Business Name) : RUI LIAN HE L.AC.
Provider Business Mailing Address
First Line : 876 55TH ST
Second Line :
City : BROOKLYN
State : NY
Zip : 11220-3213
Country : US
Telephone Number : 718-438-4668
Fax Number :
Provider Business Practice Location Address
First Line : 876 55TH ST
Second Line :
City : BROOKLYN
State : NY
Zip : 11220-3213
Country : US
Telephone Number : 718-438-4668
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 05/01/2007
Last Update Date : 09/27/2007

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Directions to “ RUI LIAN HE L.AC.” Practice Location

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