Provider Demographics
NPI:1861254229
Name:LY ACUPUNCTURE PLLC
Entity type:Organization
Organization Name:LY ACUPUNCTURE PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:MANAGNER
Authorized Official - Prefix:
Authorized Official - First Name:LEI
Authorized Official - Middle Name:
Authorized Official - Last Name:YANG
Authorized Official - Suffix:
Authorized Official - Credentials:L AC
Authorized Official - Phone:917-696-1000
Mailing Address - Street 1:42 SWEETBROOK RD
Mailing Address - Street 2:
Mailing Address - City:STATEN ISLAND
Mailing Address - State:NY
Mailing Address - Zip Code:10312-2439
Mailing Address - Country:US
Mailing Address - Phone:917-696-1000
Mailing Address - Fax:
Practice Address - Street 1:47 W 14TH ST FL 3
Practice Address - Street 2:
Practice Address - City:NEW YORK
Practice Address - State:NY
Practice Address - Zip Code:10011-0115
Practice Address - Country:US
Practice Address - Phone:917-696-1000
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-01-30
Last Update Date:2024-01-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes171100000XOther Service ProvidersAcupuncturistGroup - Single Specialty