Provider Demographics
NPI:1386802783
Name:LI, YING (ACUPUNTURE)
Entity type:Individual
Prefix:
First Name:YING
Middle Name:
Last Name:LI
Suffix:
Gender:F
Credentials:ACUPUNTURE
Other - Prefix:
Other - First Name:LI
Other - Middle Name:
Other - Last Name:YING
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:
Mailing Address - Street 1:236 CRYSTAL RUN RD
Mailing Address - Street 2:SUITE 2
Mailing Address - City:MIDDLETOWN
Mailing Address - State:NY
Mailing Address - Zip Code:10941-4060
Mailing Address - Country:US
Mailing Address - Phone:845-294-4350
Mailing Address - Fax:
Practice Address - Street 1:236 CRYSTAL RUN RD
Practice Address - Street 2:SUITE 2
Practice Address - City:MIDDLETOWN
Practice Address - State:NY
Practice Address - Zip Code:10941-4060
Practice Address - Country:US
Practice Address - Phone:845-294-4350
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2008-06-02
Last Update Date:2008-06-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY002832171100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171100000XOther Service ProvidersAcupuncturist