Organization
ADVANCED ACUPUNCTURE WELLNESS,P.C.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JENNY HONGTAO WANG LAC (PRESIDENT)
(631) 328-1382
Entity
Organization
Contact information
Practice address
150 ISLIP AVE STE 7, ISLIP, NY 11751-3222
(631) 328-1382
Mailing address
150 ISLIP AVE STE 7, ISLIP, NY 11751-3222
(631) 328-1382
Taxonomy
Speciality
Code
Description
License number
State
171100000X
Acupuncturist
Primary
001692
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1871503334
ACUPUNCTURIST
NY
Enumeration date
10/04/2012
Last updated
10/04/2012
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