Individual
LI WANG
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
L.AC.
Contact information
Practice address
15 PARK AVE STE 1, NEW YORK, NY 10016-4348
(646) 708-3593
Mailing address
3165 138TH ST APT 3G, FLUSHING, NY 11354-2636
(646) 708-3593
Taxonomy
Speciality
Code
Description
License number
State
171100000X
Acupuncturist
Primary
006123-1
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
890646420
THE EMPIRE PLAN
NY
Enumeration date
06/23/2018
Last updated
06/23/2018
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