Provider Demographics
NPI:1538541222
Name:TAIQI ACUPUNCTURE WELLNESS, PC
Entity type:Organization
Organization Name:TAIQI ACUPUNCTURE WELLNESS, PC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:ACUPUNCTURIST/OWNER
Authorized Official - Prefix:
Authorized Official - First Name:NIKOLAY
Authorized Official - Middle Name:
Authorized Official - Last Name:KOPACH
Authorized Official - Suffix:
Authorized Official - Credentials:LAC
Authorized Official - Phone:718-288-2943
Mailing Address - Street 1:288 BAY 38TH STREET, APT 7N
Mailing Address - Street 2:
Mailing Address - City:BROOKLYN
Mailing Address - State:NY
Mailing Address - Zip Code:11214
Mailing Address - Country:US
Mailing Address - Phone:718-288-2943
Mailing Address - Fax:
Practice Address - Street 1:288 BAY 38TH STREET, APT 7N
Practice Address - Street 2:
Practice Address - City:BROOKLYN
Practice Address - State:NY
Practice Address - Zip Code:11214
Practice Address - Country:US
Practice Address - Phone:718-288-2943
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2015-06-18
Last Update Date:2015-06-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes171100000XOther Service ProvidersAcupuncturistGroup - Single Specialty