MEDICARE: JIAN NING ACUPUNCTURE P.C

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	002830	NY

General Provider Information

NPI Number	:	1952678567
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	JIAN NING ACUPUNCTURE P.C

Provider Business Mailing Address
First Line	:	136 AVENUE U
Second Line	:
City	:	BROOKLYN
State	:	NY
Zip	:	11223-3609
Country	:	US
Telephone Number	:	718-372-2299
Fax Number	:

Provider Business Practice Location Address
First Line	:	136 AVENUE U
Second Line	:
City	:	BROOKLYN
State	:	NEW YORK
Zip	:	11223
Country	:	UM
Telephone Number	:	718-372-2299
Fax Number	:

Authorized Official
Title or Position	:	PRESIDENT
Name	:	HAIYAN LU
Credential	:
Telephone Number	:	718-372-2299

Provider Enumeration Date	:	11/27/2011
Last Update Date	:	11/27/2011

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