MEDICARE: KRISTIN DIANE CHIU MAE CHENG LMT, 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
1	171100000X	Acupuncturist	005639	NY

General Provider Information

NPI Number	:	1740781517
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	KRISTIN DIANE CHIU MAE CHENG LMT, L.AC.

Provider Business Mailing Address
First Line	:	39 W 14TH ST. SUITE 502
Second Line	:
City	:	NEW YORK
State	:	NY
Zip	:	10011-7403
Country	:	US
Telephone Number	:	646-255-1332
Fax Number	:

Provider Business Practice Location Address
First Line	:	39 W 14TH ST. SUITE 502
Second Line	:
City	:	NEW YORK
State	:	NY
Zip	:	10011-7403
Country	:	US
Telephone Number	:	646-255-1332
Fax Number	:

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

Provider Enumeration Date	:	02/26/2018
Last Update Date	:	11/09/2022

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