Basic Information
| Provider Information | |||||||||
| NPI: | 1609063023 | ||||||||
| EntityType: | 2 | ||||||||
| ReplacementNPI: | |||||||||
| OrganizationName: | B J ACUPUNCTURE P.C. | ||||||||
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| Mailing Information | |||||||||
| Address1: | 14038 QUINCE AVE | ||||||||
| Address2: | FL 2 | ||||||||
| City: | FLUSHING | ||||||||
| State: | NY | ||||||||
| PostalCode: | 113553561 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 9176608881 | ||||||||
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| Practice Location | |||||||||
| Address1: | 14038 QUINCE AVE | ||||||||
| Address2: | FL 2 | ||||||||
| City: | FLUSHING | ||||||||
| State: | NY | ||||||||
| PostalCode: | 113553561 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 9176608881 | ||||||||
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| Other Information | |||||||||
| ProviderEnumerationDate: | 09/29/2007 | ||||||||
| LastUpdateDate: | 09/29/2007 | ||||||||
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| AuthorizedOfficialLastName: | LIU | ||||||||
| AuthorizedOfficialFirstName: | BAOJIN | ||||||||
| AuthorizedOfficialMiddleName: | |||||||||
| AuthorizedOfficialTitleorPosition: | ACUPUNCTURIST | ||||||||
| AuthorizedOfficialTelephone: | 9176608881 | ||||||||
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| IsOrganizationSubpart: | N | ||||||||
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Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 171100000X | 000735 | NY | Y | 193400000X SINGLE SPECIALTY GROUP | Other Service Providers | Acupuncturist |
No ID Information.