Healthcare Provider Details

I. General information

NPI: 1306396528
Provider Name (Legal Business Name): CIFARELLI, NEILSEN, AND TOPPING ACUPUNCTURE AND PT PLLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 10/12/2016
Last Update Date: 10/12/2016
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

500 PORTION RD SUITE 17
LAKE RONKONKOMA NY
11779-4587
US

IV. Provider business mailing address

500 PORTION RD SUITE 17
LAKE RONKONKOMA NY
11779-4587
US

V. Phone/Fax

Practice location:
  • Phone: 631-588-2298
  • Fax: 631-588-2299
Mailing address:
  • Phone: 631-588-2298
  • Fax: 631-588-2299

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code225100000X
TaxonomyPhysical Therapist
License Number
License Number StateNY
# 2
Primary TaxonomyY
Taxonomy Code171100000X
TaxonomyAcupuncturist
License Number
License Number StateNY

VIII. Authorized Official

Name: MS. JILL ANN SZUFLADA
Title or Position: OFFICE MANAGER
Credential:
Phone: 631-588-2298