Organization
ANDREW WU ACUPUNCTURE,P.C.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ANDREW Y WU L.AC. (LICENSE ACUPUNCTURIST)
(631) 249-2481
Entity
Organization
Contact information
Practice address
535 BROADHOLLOW RD STE M102, MELVILLE, NY 11747-3719
(631) 249-2481
(631) 249-2483
Mailing address
535 BROADHOLLOW RD STE M102, MELVILLE, NY 11747-3719
(631) 249-2481
(631) 249-2483
Taxonomy
Speciality
Code
Description
License number
State
261Q00000X
Clinic/Center
Primary
001482
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
001482
NEW YORK STATE ACUPUNCTURE LICENSE
NY
Enumeration date
05/29/2018
Last updated
05/29/2018
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