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Provider Information for 1730216847

Please Note: Issuance of an NPI does not ensure or validate that the Health Care Provider is Licensed or Credentialed. For more information please refer to NPI: What You Need to Know


Gender: FEMALE

Individual NPI: 1730216847

Calendar   Last Updated:  2007-07-08
  Certification Date: 


Name Value
NPI 1730216847
Enumeration Date 2007-02-27
NPI Type 1 - Individual
Sole Proprietor YES
Status Active
Mailing Address 714 BERGEN ST APT 3
HARRISON, NJ 07029-2012
United States

Phone: 973-481-4332 | Fax: 973-481-4332
View Map External Link
Primary Practice Address 119 W 57TH ST SUITE 520
NEW YORK, NY 10019-2303
United States

Phone: 212-243-3425 | Fax:
View Map External Link
Health Information Exchange
Endpoint Type Endpoint Endpoint Description Use Content Type Affiliation Endpoint Location
Other Identifiers
Issuer State Number
Primary Taxonomy Selected Taxonomy State License Number
Yes 171100000X - Acupuncturist NY 25 001290