Healthcare Provider Details

I. General information

NPI: 1285276295
Provider Name (Legal Business Name): NY SOFT TOUCH ACUPUNCTURE PC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 10/10/2019
Last Update Date: 10/10/2019
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

150 BROADWAY RM 1115
NEW YORK NY
10038-4375
US

IV. Provider business mailing address

150 BROADWAY RM 1115
NEW YORK NY
10038-4375
US

V. Phone/Fax

Practice location:
  • Phone: 212-962-2262
  • Fax:
Mailing address:
  • Phone: 212-962-2262
  • 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: TIFFANY BEAUMONT
Title or Position: ADMINISTRATOR
Credential:
Phone: 212-962-2262