Healthcare Provider Details

I. General information

NPI: 1275485211
Provider Name (Legal Business Name): TALA ACUPUNCTURE PLLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 02/12/2026
Last Update Date: 02/12/2026
Certification Date: 02/11/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

4322 36TH ST STE 215
LONG ISLAND CITY NY
11101-6949
US

IV. Provider business mailing address

8409 TALBOT ST APT B52
KEW GARDENS NY
11415-3524
US

V. Phone/Fax

Practice location:
  • Phone: 347-829-4376
  • Fax:
Mailing address:
  • Phone: 347-829-4376
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

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

VIII. Authorized Official

Name: CRISTINA CELESTE REYES
Title or Position: LICENSED ACUPUNCTURIST
Credential:
Phone: 347-829-4376