Provider Demographics
NPI:1285051003
Name:GOLDEN TOUCH WELLNESS CENTER LLC
Entity type:Organization
Organization Name:GOLDEN TOUCH WELLNESS CENTER LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OFFICE MANAGER
Authorized Official - Prefix:MRS
Authorized Official - First Name:JACKIE
Authorized Official - Middle Name:
Authorized Official - Last Name:CHO
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:718-661-4130
Mailing Address - Street 1:14351 ROOSEVELT AVE
Mailing Address - Street 2:SUITE #1E
Mailing Address - City:FLUSHING
Mailing Address - State:NY
Mailing Address - Zip Code:11354-6155
Mailing Address - Country:US
Mailing Address - Phone:718-661-4130
Mailing Address - Fax:718-661-4132
Practice Address - Street 1:14351 ROOSEVELT AVE
Practice Address - Street 2:SUITE #1E
Practice Address - City:FLUSHING
Practice Address - State:NY
Practice Address - Zip Code:11354-6155
Practice Address - Country:US
Practice Address - Phone:718-661-4130
Practice Address - Fax:718-661-4132
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2014-03-19
Last Update Date:2014-03-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY001822171100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes171100000XOther Service ProvidersAcupuncturistGroup - Single Specialty