Basic Information
| Provider Information | |||||||||
| NPI: | 1295956837 | ||||||||
| EntityType: | 1 | ||||||||
| ReplacementNPI: | |||||||||
| OrganizationName: | |||||||||
| LastName: | HE | ||||||||
| FirstName: | RUI | ||||||||
| MiddleName: | LIAN | ||||||||
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| Credential: | L.AC. | ||||||||
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| Mailing Information | |||||||||
| Address1: | 876 55TH ST | ||||||||
| Address2: | |||||||||
| City: | BROOKLYN | ||||||||
| State: | NY | ||||||||
| PostalCode: | 112203213 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 7184384668 | ||||||||
| FaxNumber: | |||||||||
| Practice Location | |||||||||
| Address1: | 876 55TH ST | ||||||||
| Address2: | |||||||||
| City: | BROOKLYN | ||||||||
| State: | NY | ||||||||
| PostalCode: | 112203213 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 7184384668 | ||||||||
| FaxNumber: | |||||||||
| Other Information | |||||||||
| ProviderEnumerationDate: | 05/01/2007 | ||||||||
| LastUpdateDate: | 09/27/2007 | ||||||||
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| ProviderGenderCode: | F | ||||||||
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| IsSoleProprietor: | Y | ||||||||
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Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 171100000X | 000584 | NY | Y | Other Service Providers | Acupuncturist |
No ID Information.