Healthcare Provider Details

I. General information

NPI: 1174459093
Provider Name (Legal Business Name): ALYCIA BARBIERI L.AC
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 06/18/2026
Last Update Date: 06/18/2026
Certification Date: 06/18/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

18 LEDGEWOOD DR
SMITHTOWN NY
11787-4020
US

IV. Provider business mailing address

18 LEDGEWOOD DR
SMITHTOWN NY
11787-4020
US

V. Phone/Fax

Practice location:
  • Phone: 631-949-6710
  • Fax:
Mailing address:
  • Phone: 631-949-6710
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code171100000X
TaxonomyAcupuncturist
License Number007895
License Number State

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: