MEDICARE: JLEI ACUPUNCTURE PC

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	:	1922663277
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	JLEI ACUPUNCTURE PC

Provider Business Mailing Address
First Line	:	4863 207TH ST
Second Line	:
City	:	OAKLAND GARDENS
State	:	NY
Zip	:	11364-1112
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	14241 41ST AVE UNIT 9
Second Line	:
City	:	FLUSHING
State	:	NY
Zip	:	11355-2451
Country	:	US
Telephone Number	:	929-777-0049
Fax Number	:

Authorized Official
Title or Position	:	PRESIDENT
Name	:	LEI JIN
Credential	:
Telephone Number	:	929-777-0049

Provider Enumeration Date	:	05/02/2019
Last Update Date	:	02/07/2024

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