Basic Information
| Provider Information | |||||||||
| NPI: | 1841853140 | ||||||||
| EntityType: | 2 | ||||||||
| ReplacementNPI: | |||||||||
| OrganizationName: | BCARE ACUPUNCTURE PC | ||||||||
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| Mailing Information | |||||||||
| Address1: | PO BOX 640458 | ||||||||
| Address2: | |||||||||
| City: | OAKLAND GARDENS | ||||||||
| State: | NY | ||||||||
| PostalCode: | 113640458 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 7188868180 | ||||||||
| FaxNumber: | 7188868183 | ||||||||
| Practice Location | |||||||||
| Address1: | 13329 41ST RD STE 1A | ||||||||
| Address2: | |||||||||
| City: | FLUSHING | ||||||||
| State: | NY | ||||||||
| PostalCode: | 113553671 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 7189394166 | ||||||||
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| Other Information | |||||||||
| ProviderEnumerationDate: | 04/22/2019 | ||||||||
| LastUpdateDate: | 04/22/2019 | ||||||||
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| AuthorizedOfficialLastName: | BI | ||||||||
| AuthorizedOfficialFirstName: | HUAFEN | ||||||||
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| AuthorizedOfficialTitleorPosition: | OWNER | ||||||||
| AuthorizedOfficialTelephone: | 7189394166 | ||||||||
| IsSoleProprietor: | |||||||||
| IsOrganizationSubpart: | N | ||||||||
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| AuthorizedOfficialCredential: | ACUPUNCTURE | ||||||||
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Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 171100000X | Y | 193400000X SINGLE SPECIALTY GROUP | Other Service Providers | Acupuncturist |
ID Information
| ID | Type | State | Issuer | Description | 002294 | 01 | NY | ACUPUNCTURIST LICENSE | OTHER |