Healthcare Provider Details

I. General information

NPI: 1992346381
Provider Name (Legal Business Name): RACHEL SIDITSKY ACUPUNCTURE PLLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 10/07/2019
Last Update Date: 05/16/2025
Certification Date: 05/16/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

523 S MAIN ST
CANANDAIGUA NY
14424-2205
US

IV. Provider business mailing address

4975 ISLAND VIEW DR
CANANDAIGUA NY
14424-2494
US

V. Phone/Fax

Practice location:
  • Phone: 585-261-5933
  • Fax: 941-312-7852
Mailing address:
  • Phone: 585-261-5933
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code171100000X
TaxonomyAcupuncturist
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code261Q00000X
TaxonomyClinic/Center
License Number
License Number State
# 3
Primary TaxonomyN
Taxonomy Code261QM2500X
TaxonomyMedical Specialty Clinic/Center
License Number
License Number State

VIII. Authorized Official

Name: RACHEL LEAH SIDITSKY
Title or Position: OWNER
Credential: ACUPUNCTURIST
Phone: 585-261-5933