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NPI Code Detail

MEDICARE: MS. JACQUELINE AURORA PAYNE M.S.,L.AC.

MEDICARE:  MS. JACQUELINE AURORA PAYNE  M.S.,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
1171100000XAcupuncturist003863-1NY

General Provider Information

NPI Number : 1255571576
Entity Type Code : Individual
Provider Name (Legal Business Name) : MS. JACQUELINE AURORA PAYNE M.S.,L.AC.
Provider Business Mailing Address
First Line : 510 E 12TH ST
Second Line : 16
City : NEW YORK
State : NY
Zip : 10009-3816
Country : US
Telephone Number : 917-450-2754
Fax Number :
Provider Business Practice Location Address
First Line : 920 3RD AVE
Second Line : 6TH FLOOR
City : NEW YORK
State : NY
Zip : 10022-3627
Country : US
Telephone Number : 917-450-2754
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 02/26/2009
Last Update Date : 02/26/2009

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Directions to “ MS. JACQUELINE AURORA PAYNE M.S.,L.AC.” Practice Location

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