Healthcare Provider Details

I. General information

NPI: 1689040297
Provider Name (Legal Business Name): DANIELLE PIACENTINO L.AC
Entity Type: Individual
Gender: Female
Sole Proprietor: N

Provider Other Name: DANIELLE LINDSAY

II. Dates (important events)

Enumeration Date: 08/18/2015
Last Update Date: 08/12/2026
Certification Date: 08/12/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

182 MAIN ST
HUNTINGTON NY
11743-6987
US

IV. Provider business mailing address

241 CROMBIE ST
HUNTINGTON STATION NY
11746-1505
US

V. Phone/Fax

Practice location:
  • Phone: 631-673-2900
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code171100000X
TaxonomyAcupuncturist
License Number005614
License Number StateNY

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: