Healthcare Provider Details

I. General information

NPI: 1568382026
Provider Name (Legal Business Name): TIGRESS ACUPUNCTURE, PLLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 07/16/2026
Last Update Date: 07/16/2026
Certification Date: 06/24/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

17-29 MAIN STREET SUITE LL15
CORTLAND NY
13045
US

IV. Provider business mailing address

17-29 MAIN STREET SUITE LL15
CORTLAND NY
13045
US

V. Phone/Fax

Practice location:
  • Phone: 607-216-8133
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

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

VIII. Authorized Official

Name: AYLA FIALKO
Title or Position: OWNER
Credential: D.AC., L.AC.
Phone: 607-216-8133