Healthcare Provider Details

I. General information

NPI: 1164960647
Provider Name (Legal Business Name): SEAN E CHILLEMI ACUPUNCTURE & MASSAGE THERAPY LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 02/06/2017
Last Update Date: 02/06/2017
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

42 N BROADWAY
TARRYTOWN NY
10591-3206
US

IV. Provider business mailing address

42 N BROADWAY
TARRYTOWN NY
10591-3206
US

V. Phone/Fax

Practice location:
  • Phone: 914-418-5440
  • Fax:
Mailing address:
  • Phone: 914-418-5440
  • Fax:

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: MELISSA NIELI
Title or Position: BILLING MANAGER
Credential:
Phone: 914-376-6100