Provider Demographics
NPI:1043020076
Name:NEW PORT ACUPUNCTURE PC
Entity type:Organization
Organization Name:NEW PORT ACUPUNCTURE PC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:YONG
Authorized Official - Middle Name:
Authorized Official - Last Name:SHEN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:917-858-8570
Mailing Address - Street 1:4265 KISSENA BLVD APT 517
Mailing Address - Street 2:
Mailing Address - City:FLUSHING
Mailing Address - State:NY
Mailing Address - Zip Code:11355-3201
Mailing Address - Country:US
Mailing Address - Phone:917-858-8570
Mailing Address - Fax:917-908-0288
Practice Address - Street 1:4265 KISSENA BLVD APT 517
Practice Address - Street 2:
Practice Address - City:FLUSHING
Practice Address - State:NY
Practice Address - Zip Code:11355-3201
Practice Address - Country:US
Practice Address - Phone:917-858-8570
Practice Address - Fax:917-908-0288
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2025-01-11
Last Update Date:2025-01-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes171100000XOther Service ProvidersAcupuncturistGroup - Single Specialty