Healthcare Provider Details

I. General information

NPI: 1629901830
Provider Name (Legal Business Name): NY ACUPUNCTURE PLUS MASSAGE THERAPY P.C.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 06/06/2026
Last Update Date: 06/06/2026
Certification Date: 06/06/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2701 MIDDLE COUNTRY RD STE 8
LAKE GROVE NY
11755-2117
US

IV. Provider business mailing address

2701 MIDDLE COUNTRY RD STE 8
LAKE GROVE NY
11755-2117
US

V. Phone/Fax

Practice location:
  • Phone: 631-969-6422
  • Fax:
Mailing address:
  • Phone:
  • 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: MR. SAUL JUNIOR ALVAREZ
Title or Position: OWNER
Credential: LAC, LMT
Phone: 631-969-6422