1831264662 NPI number — MR. DING LUN PENG ACUPUNCTURIST

Table of content: MR. DING LUN PENG ACUPUNCTURIST (NPI 1831264662)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1831264662 NPI number — MR. DING LUN PENG ACUPUNCTURIST

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
Provider Last Name:
PENG
Provider First Name:
DING
Provider Middle Name:
LUN
Provider Name Prefix Text:
MR.
Provider Name Suffix Text:
Provider Credential Text:
ACUPUNCTURIST
Provider Gender Code:
M

Provider's Other Name Information

Provider Other Organization Name:
Provider Other Organization Name Type Code:
Provider Other Last Name:
PENG
Provider Other First Name:
DING
Provider Other Middle Name:
LUN
Provider Other Name Prefix Text:
MR.
Provider Other Name Suffix Text:
Provider Other Credential Text:
ACCUPUNCTURIST
Provider Other Last Name Type Code:
2

NPI Number Information

NPI Number:
1831264662
Entity Type Code:
Individual
Replacement NPI:
Last Update Date:
07/08/2007
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
108 EAST 38TH STREET
Provider Second Line Business Mailing Address:
SUITE A
Provider Business Mailing Address City Name:
NEW YORK
Provider Business Mailing Address State Name:
NY
Provider Business Mailing Address Postal Code:
10016
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
212-889-4802
Provider Business Mailing Address Fax Number:
646-742-1655

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
108 EAST 38TH ST
Provider Second Line Business Practice Location Address:
SUITE A
Provider Business Practice Location Address City Name:
NEW YORK
Provider Business Practice Location Address State Name:
NY
Provider Business Practice Location Address Postal Code:
10016
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
212-889-4802
Provider Business Practice Location Address Fax Number:
646-742-1655
Provider Enumeration Date:
11/20/2006

Additional Information

Authorized Official

Authorized Official Last Name:
Authorized Official First Name:
Authorized Official Middle Name:
Authorized Official Title or Position:
Authorized Official Telephone Number:

Provider Taxonomy Codes

  • Taxonomy code: 171100000X , with the licence number:  000154 , registered in the state of NY ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

Other Provider's Identifiers (legacy, non-NPI)





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