Healthcare Provider Details

I. General information

NPI: 1811448467
Provider Name (Legal Business Name): HOT NEEDLES ACUPUNCTURE PC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 10/19/2016
Last Update Date: 10/19/2016
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

86 KNOLLWOOD RD
ROSLYN NY
11576-1317
US

IV. Provider business mailing address

86 KNOLLWOOD RD
ROSLYN NY
11576-1317
US

V. Phone/Fax

Practice location:
  • Phone: 516-582-8891
  • Fax:
Mailing address:
  • Phone: 516-582-8891
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code171100000X
TaxonomyAcupuncturist
License Number004073
License Number StateNY

VIII. Authorized Official

Name: MICHELLE EUBANK-SPAGNOLETTI
Title or Position: ACUPUNCTURIST
Credential: LAC.
Phone: 516-582-8891