Provider Demographics
NPI:1871113407
Name:QI TREE ACUPUNCTURE P.C.
Entity type:Organization
Organization Name:QI TREE ACUPUNCTURE P.C.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:PROF
Authorized Official - First Name:JOMO
Authorized Official - Middle Name:
Authorized Official - Last Name:ALAKOYE-SIMMONS
Authorized Official - Suffix:
Authorized Official - Credentials:LAC
Authorized Official - Phone:646-801-4858
Mailing Address - Street 1:21 GRANITE ST APT 2R
Mailing Address - Street 2:
Mailing Address - City:BROOKLYN
Mailing Address - State:NY
Mailing Address - Zip Code:11207-1678
Mailing Address - Country:US
Mailing Address - Phone:718-536-8260
Mailing Address - Fax:
Practice Address - Street 1:1336 UTICA AVE FL 2
Practice Address - Street 2:
Practice Address - City:BROOKLYN
Practice Address - State:NY
Practice Address - Zip Code:11203-5912
Practice Address - Country:US
Practice Address - Phone:646-801-4858
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2020-04-23
Last Update Date:2020-04-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes171100000XOther Service ProvidersAcupuncturistGroup - Single Specialty