Healthcare Provider Details

I. General information

NPI: 1649891490
Provider Name (Legal Business Name): OCEAN ACUPUNCTURE PC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 05/04/2020
Last Update Date: 09/28/2026
Certification Date: 09/28/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

657 CENTRAL AVE LOWR LEVEL
CEDARHURST NY
11516-2320
US

IV. Provider business mailing address

154 MORTON BLVD
PLAINVIEW NY
11803-5617
US

V. Phone/Fax

Practice location:
  • Phone: 631-766-1612
  • Fax:
Mailing address:
  • Phone: 917-769-6864
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

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

VIII. Authorized Official

Name: DR. KEVIN SPEARS
Title or Position: DIRECTOR
Credential: D.O.M
Phone: 631-766-1612