Provider Demographics
NPI:1679373989
Name:MAGIC HERB
Entity type:Organization
Organization Name:MAGIC HERB
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:MANAGING DIRECTOR
Authorized Official - Prefix:
Authorized Official - First Name:QIURONG
Authorized Official - Middle Name:
Authorized Official - Last Name:ZHENG
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:667-218-1983
Mailing Address - Street 1:224 W 35TH ST STE 905
Mailing Address - Street 2:
Mailing Address - City:NEW YORK
Mailing Address - State:NY
Mailing Address - Zip Code:10001-2534
Mailing Address - Country:US
Mailing Address - Phone:667-218-1983
Mailing Address - Fax:
Practice Address - Street 1:224 W 35TH ST STE 905
Practice Address - Street 2:
Practice Address - City:NEW YORK
Practice Address - State:NY
Practice Address - Zip Code:10001-2534
Practice Address - Country:US
Practice Address - Phone:667-218-1983
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2025-03-17
Last Update Date:2025-03-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QP2000XAmbulatory Health Care FacilitiesClinic/CenterPhysical Therapy