Individual
JERRY LUI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
L.AC
Contact information
Practice address
211 GRAND ST, NEW YORK, NY 10013-4223
(212) 966-6370
Mailing address
23943 65TH AVE, DOUGLASTON, NY 11362-1918
(646) 831-5555
Taxonomy
Speciality
Code
Description
License number
State
171100000X
Acupuncturist
Primary
005327
NY
Other
Enumeration date
05/05/2015
Last updated
07/21/2022
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