Organization
TAN'S ACUPUNCTURE, P.C.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
TIAN TAN LAC (OWNER)
(516) 696-8885
Entity
Organization
Contact information
Practice address
553 OLD COUNTRY RD, PLAINVIEW, NY 11803-4923
(516) 612-3020
(516) 612-0321
Mailing address
553 OLD COUNTRY RD, PLAINVIEW, NY 11803-4923
(516) 612-0320
(516) 612-0321
Taxonomy
Speciality
Code
Description
License number
State
171100000X
Acupuncturist
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
006673
STATE LICENSE
NY
Enumeration date
02/23/2021
Last updated
02/23/2021
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