Organization
FAN'S ACUPUNCTURE P.C.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
XIN FAN (L.AC)
(917) 803-5808
Entity
Organization
Contact information
Practice address
54 RADNOR RD, GREAT NECK, NY 11023-1429
(917) 803-5808
Mailing address
54 RADNOR RD, GREAT NECK, NY 11023-1429
Taxonomy
Speciality
Code
Description
License number
State
261QH0100X
Health Service Clinic/Center
Primary
—
—
261QP2000X
Physical Therapy Clinic/Center
—
—
261QP3300X
Pain Clinic/Center
—
—
Other
Enumeration date
10/26/2023
Last updated
10/26/2023
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