Provider Demographics
NPI:1447338983
Name:FU, PING X (LAC)
Entity type:Individual
Prefix:DR
First Name:PING
Middle Name:X
Last Name:FU
Suffix:
Gender:F
Credentials:LAC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:11713 UNION TPKE
Mailing Address - Street 2:
Mailing Address - City:FOREST HILLS
Mailing Address - State:NY
Mailing Address - Zip Code:11375-6140
Mailing Address - Country:US
Mailing Address - Phone:718-544-0862
Mailing Address - Fax:718-793-9533
Practice Address - Street 1:2040 DEER PARK AVE
Practice Address - Street 2:
Practice Address - City:DEER PARK
Practice Address - State:NY
Practice Address - Zip Code:11729-2101
Practice Address - Country:US
Practice Address - Phone:631-254-2668
Practice Address - Fax:718-793-9533
Is Sole Proprietor?:Yes
Enumeration Date:2006-11-01
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY000277171100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171100000XOther Service ProvidersAcupuncturist