Healthcare Provider Details

I. General information

NPI: 1710841226
Provider Name (Legal Business Name): GAIA SINATRA
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 12/10/2025
Last Update Date: 12/10/2025
Certification Date: 12/10/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

246 PRAIRIE ST
CONCORD MA
01742-2929
US

IV. Provider business mailing address

246 PRAIRIE ST
CONCORD MA
01742-2929
US

V. Phone/Fax

Practice location:
  • Phone: 917-361-0871
  • Fax:
Mailing address:
  • Phone: 917-361-0871
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code171100000X
TaxonomyAcupuncturist
License Number
License Number StateMA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: