Individual
QIN HUA SU
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LAC
Contact information
Practice address
13329 41ST RD STE 2A, FLUSHING, NY 11355-3671
(718) 539-7696
Mailing address
PO BOX 521475, FLUSHING, NY 11352-1475
(718) 539-7696
Taxonomy
Speciality
Code
Description
License number
State
171100000X
Acupuncturist
Primary
000597
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000597
LICENSE
NY
Enumeration date
08/28/2009
Last updated
08/28/2009
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