| NPI | 1730204017 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | XUE MIN WANG Acupuncturist 1718-986-5304 |
| Organization Subpart ? | No |
| Primary Taxonomy | 302R00000X Health Maintenance Organization (Licence: NY 001212) |
| Enumeration Date | 2007-03-19 |
| Last Update Date | 2020-08-22 |