Healthcare Provider Details

I. General information

NPI: 1235635467
Provider Name (Legal Business Name): GHOSTPOINT ACUPUNCTURE, PLLC DBA CITY ACUPUNCUTRE FLATIRON
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 04/05/2018
Last Update Date: 04/05/2018
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

19 W 26TH ST FL 5
NEW YORK NY
10010-1000
US

IV. Provider business mailing address

19 W 26TH ST FL 5
NEW YORK NY
10010-1000
US

V. Phone/Fax

Practice location:
  • Phone: 212-779-5980
  • Fax:
Mailing address:
  • Phone: 212-779-5980
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code171100000X
TaxonomyAcupuncturist
License Number005252
License Number StateNY
# 2
Primary TaxonomyN
Taxonomy Code225700000X
TaxonomyMassage Therapist
License Number
License Number State

VIII. Authorized Official

Name: CHAD DAVID PEARSON
Title or Position: OWNER
Credential: L.AC.
Phone: 212-779-5980