Healthcare Provider Details

I. General information

NPI: 1073105813
Provider Name (Legal Business Name): FLY AGAIN ACUPUNCTURE PLLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 02/03/2021
Last Update Date: 02/03/2021
Certification Date: 02/03/2021
Deactivation Date:
Reactivation Date:

III. Provider practice location address

70 MAIN ST
GREENWICH NY
12834-1211
US

IV. Provider business mailing address

70 MAIN ST
GREENWICH NY
12834-1211
US

V. Phone/Fax

Practice location:
  • Phone: 518-232-1759
  • Fax: 518-633-1794
Mailing address:
  • Phone: 518-232-1759
  • Fax: 518-633-1794

VI. Provider taxonomy

Scope of Practice (Provider specialty)

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

VIII. Authorized Official

Name: ALYCIA V ASKEW
Title or Position: OWNER/ACUPUNCTURIST
Credential: L.AC.
Phone: 518-232-1759