MEDICARE: MARGARET ALICIA BRICELAND MS

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
1	171100000X	Acupuncturist	007049-01	NY

General Provider Information

NPI Number	:	1073261624
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MARGARET ALICIA BRICELAND MS

Provider Business Mailing Address
First Line	:	2 PLEASANT VALLEY WAY
Second Line	:
City	:	WEST ORANGE
State	:	NJ
Zip	:	07052-2958
Country	:	US
Telephone Number	:	917-702-6657
Fax Number	:

Provider Business Practice Location Address
First Line	:	2030 N JERUSALEM RD
Second Line	:
City	:	NORTH BELLMORE
State	:	NY
Zip	:	11710-1110
Country	:	US
Telephone Number	:	917-702-6657
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	03/14/2022
Last Update Date	:	03/14/2022

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