Basic Information
| Provider Information | |||||||||
| NPI: | 1922638840 | ||||||||
| EntityType: | 2 | ||||||||
| ReplacementNPI: | |||||||||
| OrganizationName: | HBL ACUPUNCTURE P.C. | ||||||||
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| Mailing Information | |||||||||
| Address1: | 13215 41ST AVE APT 2A | ||||||||
| Address2: | |||||||||
| City: | FLUSHING | ||||||||
| State: | NY | ||||||||
| PostalCode: | 113553963 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 7188880551 | ||||||||
| FaxNumber: | 7182286798 | ||||||||
| Practice Location | |||||||||
| Address1: | 13215 41ST AVE APT 2A | ||||||||
| Address2: | |||||||||
| City: | FLUSHING | ||||||||
| State: | NY | ||||||||
| PostalCode: | 113553963 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 7188880551 | ||||||||
| FaxNumber: | 7182286798 | ||||||||
| Other Information | |||||||||
| ProviderEnumerationDate: | 01/20/2020 | ||||||||
| LastUpdateDate: | 01/20/2020 | ||||||||
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| AuthorizedOfficialLastName: | LIU | ||||||||
| AuthorizedOfficialFirstName: | JUN YI | ||||||||
| AuthorizedOfficialMiddleName: | |||||||||
| AuthorizedOfficialTitleorPosition: | LAC | ||||||||
| AuthorizedOfficialTelephone: | 6467045680 | ||||||||
| IsSoleProprietor: | |||||||||
| IsOrganizationSubpart: | N | ||||||||
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| AuthorizedOfficialNamePrefix: | DR. | ||||||||
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| AuthorizedOfficialCredential: | LAC | ||||||||
| NPICertificationDate: | 01/20/2020 | ||||||||
Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 171100000X | Y | 193400000X SINGLE SPECIALTY GROUP | Other Service Providers | Acupuncturist |
No ID Information.