Provider Demographics
NPI:1447050802
Name:MASSAPEQUA PARK ACUPUNCTURE WELLNESS P.C.
Entity type:Organization
Organization Name:MASSAPEQUA PARK ACUPUNCTURE WELLNESS P.C.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:LI HONG
Authorized Official - Middle Name:
Authorized Official - Last Name:ZOU
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:516-798-5250
Mailing Address - Street 1:7312 188TH ST
Mailing Address - Street 2:
Mailing Address - City:FRESH MEADOWS
Mailing Address - State:NY
Mailing Address - Zip Code:11366-1728
Mailing Address - Country:US
Mailing Address - Phone:917-318-8175
Mailing Address - Fax:
Practice Address - Street 1:500 PARK BLVD
Practice Address - Street 2:
Practice Address - City:MASSAPEQUA PARK
Practice Address - State:NY
Practice Address - Zip Code:11762-3042
Practice Address - Country:US
Practice Address - Phone:516-798-5250
Practice Address - Fax:516-798-5255
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2025-03-15
Last Update Date:2025-03-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes171100000XOther Service ProvidersAcupuncturistGroup - Multi-Specialty