MEDICARE: WARRIOR NYC ACUPUNCTURE PLLC

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

General Provider Information

NPI Number	:	1790651958
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	WARRIOR NYC ACUPUNCTURE PLLC

Provider Business Mailing Address
First Line	:	75 KENMARE ST APT 3J
Second Line	:
City	:	NEW YORK
State	:	NY
Zip	:	10012-0301
Country	:	US
Telephone Number	:	917-468-6209
Fax Number	:

Provider Business Practice Location Address
First Line	:	20 W 23RD ST FL 3
Second Line	:
City	:	NEW YORK
State	:	NY
Zip	:	10010-5237
Country	:	US
Telephone Number	:	646-908-0923
Fax Number	:

Authorized Official
Title or Position	:	ACUPUNCTURIST
Name	:	ANSGAR LEE
Credential	:	L.AC
Telephone Number	:	917-392-9239

Provider Enumeration Date	:	10/15/2025
Last Update Date	:	10/15/2025

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