Provider Demographics
NPI:1063933133
Name:HUANG, QIANQIU LOTUS (LAC)
Entity type:Individual
Prefix:MISS
First Name:QIANQIU
Middle Name:LOTUS
Last Name:HUANG
Suffix:
Gender:F
Credentials:LAC
Other - Prefix:
Other - First Name:LOTUS
Other - Middle Name:
Other - Last Name:HUANG
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:LAC
Mailing Address - Street 1:353 LEXINGTON AVE RM 1205
Mailing Address - Street 2:
Mailing Address - City:NEW YORK
Mailing Address - State:NY
Mailing Address - Zip Code:10016-0942
Mailing Address - Country:US
Mailing Address - Phone:347-282-2978
Mailing Address - Fax:888-928-1126
Practice Address - Street 1:353 LEXINGTON AVE RM 1205
Practice Address - Street 2:
Practice Address - City:NEW YORK
Practice Address - State:NY
Practice Address - Zip Code:10016-0942
Practice Address - Country:US
Practice Address - Phone:347-282-2978
Practice Address - Fax:888-928-1126
Is Sole Proprietor?:Yes
Enumeration Date:2017-06-29
Last Update Date:2023-11-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY006001-1171100000X
NY006001171100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes171100000XOther Service ProvidersAcupuncturistGroup - Multi-Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
NY006001OtherPAIN AND FERTILITY