Healthcare Provider Details

I. General information

NPI: 1831272616
Provider Name (Legal Business Name): HUGO PIERRE AURELIEN-NIKOLAI D.AOM., D.AC, MS,LAC
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 10/23/2006
Last Update Date: 03/28/2016
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

212 E 47TH ST SUITE/APT 21 E
NEW YORK NY
10017-2128
US

IV. Provider business mailing address

PO BOX 3855 GRAND CENTRAL STATION
NEW YORK NY
10163-3855
US

V. Phone/Fax

Practice location:
  • Phone: 917-348-1176
  • Fax: 917-464-3758
Mailing address:
  • Phone: 917-348-1176
  • Fax: 917-464-3758

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code171100000X
TaxonomyAcupuncturist
License Number002434
License Number StateNY
# 2
Primary TaxonomyN
Taxonomy Code171100000X
TaxonomyAcupuncturist
License NumberDA00200
License Number StateRI

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: