Healthcare Provider Details

I. General information

NPI: 1003415423
Provider Name (Legal Business Name): GUIDA ACUPUNCTURE PC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 10/19/2020
Last Update Date: 10/19/2020
Certification Date: 10/19/2020
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3233 WESTCHESTER AVE
BRONX NY
10461-4507
US

IV. Provider business mailing address

PO BOX 8104
WHITE PLAINS NY
10602-8104
US

V. Phone/Fax

Practice location:
  • Phone: 718-483-9678
  • Fax:
Mailing address:
  • Phone: 516-458-9037
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code171100000X
TaxonomyAcupuncturist
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code225700000X
TaxonomyMassage Therapist
License Number
License Number State

VIII. Authorized Official

Name: MR. JOHN GUIDA
Title or Position: PRESIDENT
Credential: LAC., LMT
Phone: 516-458-9037