Healthcare Provider Details
I. General information
NPI: 1730624222
Provider Name (Legal Business Name): BIG HAPPY ACUPUNCTURE PLLC
Entity Type: Organization
Gender:
Sole Proprietor:
II. Dates (important events)
Enumeration Date: 12/20/2016
Last Update Date: 12/20/2016
Certification Date:
Deactivation Date:
Reactivation Date:
III. Provider practice location address
32 N DIVISION ST
PEEKSKILL NY
10566-2918
US
IV. Provider business mailing address
201 W 74TH ST 16G
NEW YORK NY
10023-2129
US
V. Phone/Fax
- Phone: 646-833-7832
- Fax: 646-398-9065
- Phone: 646-833-7832
- Fax: 646-398-9065
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | N |
| Taxonomy Code | 111N00000X |
| Taxonomy | Chiropractor |
| License Number | |
| License Number State | |
| # 2 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 171100000X |
| Taxonomy | Acupuncturist |
| License Number | |
| License Number State | |
| # 3 | |
| Primary Taxonomy | N |
| Taxonomy Code | 225700000X |
| Taxonomy | Massage Therapist |
| License Number | |
| License Number State | |
VIII. Authorized Official
Name: DR.
PHILIP
A
TRIGIANI
Title or Position: OWNER
Credential: D.AC., L.AC.
Phone: 212-769-6443