Provider Demographics
NPI:1265869564
Name:TSO, HUILI
Entity type:Individual
Prefix:
First Name:HUILI
Middle Name:
Last Name:TSO
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1 WELWYN RD # 2169
Mailing Address - Street 2:
Mailing Address - City:GREAT NECK
Mailing Address - State:NY
Mailing Address - Zip Code:11022-5042
Mailing Address - Country:US
Mailing Address - Phone:516-487-4317
Mailing Address - Fax:
Practice Address - Street 1:1 WELWYN RD # 2169
Practice Address - Street 2:
Practice Address - City:GREAT NECK
Practice Address - State:NY
Practice Address - Zip Code:11022-5042
Practice Address - Country:US
Practice Address - Phone:516-487-4317
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2013-10-01
Last Update Date:2015-02-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY005154-1171100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171100000XOther Service ProvidersAcupuncturist