Healthcare Provider Details

I. General information

NPI: 1720919780
Provider Name (Legal Business Name): A&C MANAGEMENT NY, LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 05/28/2026
Last Update Date: 05/28/2026
Certification Date: 05/28/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2073 MERRICK RD
MERRICK NY
11566-4703
US

IV. Provider business mailing address

2073 MERRICK RD
MERRICK NY
11566-4703
US

V. Phone/Fax

Practice location:
  • Phone: 516-412-6800
  • Fax:
Mailing address:
  • Phone: 516-412-6800
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code171100000X
TaxonomyAcupuncturist
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code171400000X
TaxonomyHealth & Wellness Coach
License Number
License Number State
# 3
Primary TaxonomyY
Taxonomy Code225700000X
TaxonomyMassage Therapist
License Number
License Number State

VIII. Authorized Official

Name: CLAUDINE OUGOURLIAN
Title or Position: MEMBER
Credential:
Phone: 646-812-4800