MEDICARE: CHRISTINE CHI

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	007521	NY

General Provider Information

NPI Number	:	1770318230
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	CHRISTINE CHI

Provider Business Mailing Address
First Line	:	274 WILLOUGHBY AVE APT 5M
Second Line	:
City	:	BROOKLYN
State	:	NY
Zip	:	11205-1432
Country	:	US
Telephone Number	:	469-585-5615
Fax Number	:

Provider Business Practice Location Address
First Line	:	156 WILLIAM ST RM 801
Second Line	:
City	:	NEW YORK
State	:	NY
Zip	:	10038-5362
Country	:	US
Telephone Number	:	646-858-0138
Fax Number	:

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

Provider Enumeration Date	:	09/04/2024
Last Update Date	:	09/04/2024

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Directions to “ CHRISTINE CHI ” Practice Location

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