| NPI | 1972976280 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | AMY WANG L.Ac. 718-372-6888 |
| Organization Subpart ? | No |
| Primary Taxonomy | 225100000X Physical Therapist |
| Additional Taxonomies | 171100000X Acupuncturist |
| Enumeration Date | 2015-11-09 |
| Last Update Date | 2020-04-27 |