Provider Demographics
NPI:1366089286
Name:RONGLU ACUPUNCTURE PC
Entity type:Organization
Organization Name:RONGLU ACUPUNCTURE PC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OFFICE MANAGER
Authorized Official - Prefix:MRS
Authorized Official - First Name:JENNY
Authorized Official - Middle Name:
Authorized Official - Last Name:DONG
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:848-565-4819
Mailing Address - Street 1:426 W 58TH STREET, 1ST FL MEDICAL
Mailing Address - Street 2:1ST FL MEDICAL
Mailing Address - City:NEW YORK
Mailing Address - State:NY
Mailing Address - Zip Code:10019-1120
Mailing Address - Country:US
Mailing Address - Phone:347-964-3642
Mailing Address - Fax:646-559-1358
Practice Address - Street 1:426 W 58TH STREET
Practice Address - Street 2:1ST FL MEDICAL
Practice Address - City:NEW YORK
Practice Address - State:NY
Practice Address - Zip Code:10019-1001
Practice Address - Country:US
Practice Address - Phone:347-964-3642
Practice Address - Fax:646-559-1358
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2019-12-10
Last Update Date:2021-10-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes171100000XOther Service ProvidersAcupuncturistGroup - Single Specialty