Healthcare Provider Details

I. General information

NPI: 1629734231
Provider Name (Legal Business Name): HANDS ON ACUPUNCTURE AND MASSAGE
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 11/09/2021
Last Update Date: 11/09/2021
Certification Date: 11/09/2021
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1239 N COUNTRY RD STE 3
STONY BROOK NY
11790-1920
US

IV. Provider business mailing address

1239 N COUNTRY RD STE 3
STONY BROOK NY
11790-1920
US

V. Phone/Fax

Practice location:
  • Phone: 631-626-0165
  • Fax: 631-675-6709
Mailing address:
  • Phone: 631-626-0165
  • Fax: 631-675-6709

VI. Provider taxonomy

Scope of Practice (Provider specialty)

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

VIII. Authorized Official

Name: MS. AYSE ARKALI
Title or Position: OFFICE MANAGER
Credential:
Phone: 631-601-6491