Healthcare Provider Details

I. General information

NPI: 1184438939
Provider Name (Legal Business Name): MIDDAY THERAPEUTIC CORP
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 02/03/2025
Last Update Date: 03/19/2025
Certification Date: 03/19/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2056 DEER PARK AVE
DEER PARK NY
11729-2128
US

IV. Provider business mailing address

2056 DEER PARK AVE
DEER PARK NY
11729-2128
US

V. Phone/Fax

Practice location:
  • Phone: 631-940-6095
  • Fax:
Mailing address:
  • Phone: 631-940-6095
  • 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: RUTH PIERRE
Title or Position: OWNER/PRESIDENT
Credential: LAC
Phone: 631-988-1562