Healthcare Provider Details

I. General information

NPI: 1861776031
Provider Name (Legal Business Name): KEARSTIN R SAYA L.AC
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 10/05/2011
Last Update Date: 10/05/2011
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

59 E MILL RD
LONG VALLEY NJ
07853-6215
US

IV. Provider business mailing address

59 E MILL RD
LONG VALLEY NJ
07853-6215
US

V. Phone/Fax

Practice location:
  • Phone: 973-330-2028
  • Fax:
Mailing address:
  • Phone: 973-330-2028
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code171100000X
TaxonomyAcupuncturist
License Number25MZ00084400
License Number StateNJ

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: