Provider Demographics
NPI:1215255807
Name:HOLD MIDDLE ACUPUNCTURE P.C.
Entity type:Organization
Organization Name:HOLD MIDDLE ACUPUNCTURE P.C.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:SHUANG
Authorized Official - Middle Name:
Authorized Official - Last Name:HUO
Authorized Official - Suffix:
Authorized Official - Credentials:L AC
Authorized Official - Phone:212-731-9826
Mailing Address - Street 1:3250 BROADWAY APT 5G
Mailing Address - Street 2:
Mailing Address - City:NEW YORK
Mailing Address - State:NY
Mailing Address - Zip Code:10027-2311
Mailing Address - Country:US
Mailing Address - Phone:212-731-9826
Mailing Address - Fax:
Practice Address - Street 1:80 CENTRAL PARK W STE B
Practice Address - Street 2:
Practice Address - City:NEW YORK
Practice Address - State:NY
Practice Address - Zip Code:10023-5204
Practice Address - Country:US
Practice Address - Phone:212-731-9826
Practice Address - Fax:646-367-3498
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2010-05-07
Last Update Date:2010-05-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY003104171100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes171100000XOther Service ProvidersAcupuncturistGroup - Single Specialty