Individual
MRS. SU-CHEN YOU LOR SR.
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
ACUPUNCTURIST OUD
Contact information
Practice address
66-51 SAUNDERS ST., FOREST HILLS, NY 11374-4635
(718) 268-5836
Mailing address
66-51 SAUNDERS ST., FOREST HILLS, NY 11374-4635
(718) 268-5836
Taxonomy
Speciality
Code
Description
License number
State
171100000X
Acupuncturist
Primary
N.Y.S. NO#000101
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000101
N.Y.S. LIC
NY
Enumeration date
05/26/2009
Last updated
05/26/2009
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