Provider Demographics
NPI:1083039416
Name:COMPLETE ACUPUNCTURE WELLNESS, P.C.
Entity type:Organization
Organization Name:COMPLETE ACUPUNCTURE WELLNESS, P.C.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:L.AC.
Authorized Official - Prefix:
Authorized Official - First Name:AMY
Authorized Official - Middle Name:
Authorized Official - Last Name:WANG
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:718-372-5888
Mailing Address - Street 1:8610 25TH AVE
Mailing Address - Street 2:
Mailing Address - City:BROOKLYN
Mailing Address - State:NY
Mailing Address - Zip Code:11214-4458
Mailing Address - Country:US
Mailing Address - Phone:718-372-5888
Mailing Address - Fax:718-372-9999
Practice Address - Street 1:8610 25TH AVE
Practice Address - Street 2:
Practice Address - City:BROOKLYN
Practice Address - State:NY
Practice Address - Zip Code:11214-4458
Practice Address - Country:US
Practice Address - Phone:718-372-5888
Practice Address - Fax:718-372-9999
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2014-02-21
Last Update Date:2020-04-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes171100000XOther Service ProvidersAcupuncturistGroup - Single Specialty