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NPI Code Detail

MEDICARE: ERIC TISCHLER L.AC.

MEDICARE: ERIC TISCHLER L.AC.
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1171100000XAcupuncturist002998-1NY

General Provider Information

NPI Number : 1558660787
Entity Type Code : Individual
Provider Name (Legal Business Name) : ERIC TISCHLER L.AC.
Provider Business Mailing Address
First Line : 2565 ROUTE 212
Second Line :
City : WOODSTOCK
State : NY
Zip : 12498-2115
Country : US
Telephone Number : 845-679-6210
Fax Number : 845-679-6214
Provider Business Practice Location Address
First Line : 2565 ROUTE 212
Second Line :
City : WOODSTOCK
State : NY
Zip : 12498-2115
Country : US
Telephone Number : 845-679-6210
Fax Number : 845-679-6214
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 03/28/2011
Last Update Date : 03/28/2011

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Directions to “ ERIC TISCHLER L.AC.” Practice Location

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