Provider Demographics
NPI:1578392536
Name:RIVER PARK ACUPUNCTURE P.C.
Entity type:Organization
Organization Name:RIVER PARK ACUPUNCTURE P.C.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:LICENSED ACUPUNCTURIST
Authorized Official - Prefix:
Authorized Official - First Name:ZHENTAO
Authorized Official - Middle Name:
Authorized Official - Last Name:WU
Authorized Official - Suffix:
Authorized Official - Credentials:LAC
Authorized Official - Phone:347-918-8822
Mailing Address - Street 1:381 2ND ST FL 1
Mailing Address - Street 2:
Mailing Address - City:BROOKLYN
Mailing Address - State:NY
Mailing Address - Zip Code:11215-2403
Mailing Address - Country:US
Mailing Address - Phone:917-596-5379
Mailing Address - Fax:
Practice Address - Street 1:900B EAST TREMONT AVE
Practice Address - Street 2:SUIT # B
Practice Address - City:BRONX
Practice Address - State:NY
Practice Address - Zip Code:10460-4355
Practice Address - Country:US
Practice Address - Phone:347-918-8822
Practice Address - Fax:347-918-8821
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-07-29
Last Update Date:2024-07-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes171100000XOther Service ProvidersAcupuncturistGroup - Multi-Specialty