MEDICARE: MOONCHING WU

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	004989	NY

General Provider Information

NPI Number	:	1366888380
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MOONCHING WU

Provider Business Mailing Address
First Line	:	240 POWERS ST
Second Line	:	3R
City	:	BROOKLYN
State	:	NY
Zip	:	11211-5056
Country	:	US
Telephone Number	:	347-941-9215
Fax Number	:

Provider Business Practice Location Address
First Line	:	240 POWERS ST
Second Line	:	3R
City	:	BROOKLYN
State	:	NY
Zip	:	11211-5056
Country	:	US
Telephone Number	:	347-941-9215
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	05/16/2013
Last Update Date	:	05/16/2013

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Directions to “ MOONCHING WU ” Practice Location

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