Individual
MISS JUAN XU
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
L.AC
Contact information
Practice address
21718 47TH AVE, BAYSIDE, NY 11361-3526
(917) 607-1999
Mailing address
21718 47TH AVE, BAYSIDE, NY 11361-3526
(917) 607-1999
Taxonomy
Speciality
Code
Description
License number
State
171100000X
Acupuncturist
Primary
004755
NY
Other
Enumeration date
06/15/2012
Last updated
07/11/2023
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