Organization
ULTIMATE HEALING & ACUPUNCTURE PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. XIAO L XU LAC (ACUPUNCTURIST/OWNER)
(917) 376-6886
Entity
Organization
Contact information
Practice address
230 MIDDLE NECK RD, SUITE 1, GREAT NECK, NY 11021-1113
(917) 376-6886
(212) 688-8283
Mailing address
401 E 58TH ST, SUITE C6, NEW YORK, NY 10022-2312
(917) 376-6886
Taxonomy
Speciality
Code
Description
License number
State
171100000X
Acupuncturist
Primary
002844
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
002844
NY STATE LICENSE NUMBER
NY
01
—
1104029800
PROVIDER NPI
—
Enumeration date
05/04/2008
Last updated
05/04/2008
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