Individual
JIANYONG QU
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
25 HOLYOKE RD, HICKSVILLE, NY 11801-3447
(516) 931-2575
Mailing address
25 HOLYOKE RD, HICKSVILLE, NY 11801-3447
(516) 931-2575
Taxonomy
Speciality
Code
Description
License number
State
171100000X
Acupuncturist
Primary
742
NY
Other
Enumeration date
03/07/2007
Last updated
07/08/2007
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