Healthcare Provider Details

I. General information

NPI: 1871458380
Provider Name (Legal Business Name): ACUSPA ACUPUNCTURE AND MASSAGE THERAPY
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 12/17/2025
Last Update Date: 12/17/2025
Certification Date: 12/17/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

16 HASTINGS DR
RIDGE NY
11961-1731
US

IV. Provider business mailing address

16 HASTINGS DR
RIDGE NY
11961-1731
US

V. Phone/Fax

Practice location:
  • Phone: 631-766-7044
  • Fax:
Mailing address:
  • Phone: 631-766-7044
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

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

VIII. Authorized Official

Name: CHRISTY BRANDSTADTER
Title or Position: OWNER
Credential:
Phone: 631-766-7044