Individual
CHARLENE XU
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LAC
Contact information
Practice address
1201 NOSTRAND AVE STE BSMT, BROOKLYN, NY 11225-5911
(929) 341-9586
(619) 268-6057
Mailing address
13103 40TH RD APT 10Y, FLUSHING, NY 11354-5214
(646) 894-8963
(212) 668-8283
Taxonomy
Speciality
Code
Description
License number
State
171100000X
Acupuncturist
Primary
002844-1
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
LICENSE
002844-1
NY
Enumeration date
06/08/2007
Last updated
02/14/2020
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