Provider Demographics
NPI:1720898760
Name:HUANG, QING YI JOYCE (LAC)
Entity type:Individual
Prefix:
First Name:QING YI JOYCE
Middle Name:
Last Name:HUANG
Suffix:
Gender:F
Credentials:LAC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:91 E BROADWAY
Mailing Address - Street 2:
Mailing Address - City:STATEN ISLAND
Mailing Address - State:NY
Mailing Address - Zip Code:10306-2028
Mailing Address - Country:US
Mailing Address - Phone:917-882-1886
Mailing Address - Fax:
Practice Address - Street 1:17 E BROADWAY STE 501
Practice Address - Street 2:
Practice Address - City:NEW YORK
Practice Address - State:NY
Practice Address - Zip Code:10002-6994
Practice Address - Country:US
Practice Address - Phone:212-406-2439
Practice Address - Fax:212-962-6633
Is Sole Proprietor?:Yes
Enumeration Date:2025-01-11
Last Update Date:2025-01-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY007662171100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171100000XOther Service ProvidersAcupuncturist