| NPI | 1366214900 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | XIN FAN L.Ac 917-803-5808 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QH0100X Clinic/Center, Health Services |
| Additional Taxonomies | 261QP2000X Clinic/Center, Physical Therapy |
| 261QP3300X Clinic/Center, Pain | |
| Enumeration Date | 2023-10-26 |
| Last Update Date | 2023-10-26 |