Provider Demographics
NPI:1902103419
Name:CHIANG, CHRISTY TZUYING (LAC)
Entity Type:Individual
Prefix:
First Name:CHRISTY
Middle Name:TZUYING
Last Name:CHIANG
Suffix:
Gender:F
Credentials:LAC
Other - Prefix:
Other - First Name:TZUYING
Other - Middle Name:
Other - Last Name:CHIANG
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:LAC
Mailing Address - Street 1:233 BROADWAY RM 2750
Mailing Address - Street 2:
Mailing Address - City:NEW YORK
Mailing Address - State:NY
Mailing Address - Zip Code:10279-2704
Mailing Address - Country:US
Mailing Address - Phone:917-277-2740
Mailing Address - Fax:917-277-7638
Practice Address - Street 1:233 BROADWAY RM 2750
Practice Address - Street 2:
Practice Address - City:NEW YORK
Practice Address - State:NY
Practice Address - Zip Code:10279-2704
Practice Address - Country:US
Practice Address - Phone:917-277-7640
Practice Address - Fax:917-277-7638
Is Sole Proprietor?:Yes
Enumeration Date:2011-02-17
Last Update Date:2023-09-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ25MZ00126900171100000X, 171100000X
NY007179-01171100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171100000XOther Service ProvidersAcupuncturist