MEDICARE: KIYIN CHENG 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	004393	NY

General Provider Information

NPI Number	:	1851601579
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	KIYIN CHENG L.AC

Provider Business Mailing Address
First Line	:	962 57TH ST
Second Line	:
City	:	BROOKLYN
State	:	NY
Zip	:	11219-4417
Country	:	US
Telephone Number	:	347-746-1388
Fax Number	:	413-831-1020

Provider Business Practice Location Address
First Line	:	962 57TH ST
Second Line	:
City	:	BROOKLYN
State	:	NY
Zip	:	11219-4417
Country	:	US
Telephone Number	:	347-746-1388
Fax Number	:	413-831-1020

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

Provider Enumeration Date	:	10/15/2010
Last Update Date	:	02/06/2022

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