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NPI Code Detail

MEDICARE: AARON JASON TEICH L.AC.

MEDICARE: AARON JASON TEICH L.AC.
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1171100000XAcupuncturist0042581NY
2171100000XAcupuncturistAC12699CA

General Provider Information

NPI Number : 1003139437
Entity Type Code : Individual
Provider Name (Legal Business Name) : AARON JASON TEICH L.AC.
Provider Business Mailing Address
First Line : 7 W 84TH ST
Second Line : APT. 2
City : NEW YORK
State : NY
Zip : 10024-4738
Country : US
Telephone Number : 917-445-7232
Fax Number :
Provider Business Practice Location Address
First Line : 7 W 84TH ST
Second Line : APT. 2
City : NEW YORK
State : NY
Zip : 10024-4738
Country : US
Telephone Number : 917-445-7232
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 03/12/2010
Last Update Date : 03/12/2010

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