Individual
JIALEI TANG
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LAC
Contact information
Practice address
280 MADISON AVE RM 800, NEW YORK, NY 10016-0824
(516) 387-5086
Mailing address
6844 SPRINGFIELD BLVD UPPR, BAYSIDE, NY 11364-2633
(516) 387-5086
Taxonomy
Speciality
Code
Description
License number
State
171100000X
Acupuncturist
Primary
006260
NY
Other
Enumeration date
05/17/2021
Last updated
08/04/2024
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