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NPI Code Detail

MEDICARE: JOELLE LUDWIG LAC

MEDICARE: JOELLE LUDWIG LAC
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
1225700000XMassage Therapist024251-1NY
2171100000XAcupuncturist25005728NY

General Provider Information

NPI Number : 1285095216
Entity Type Code : Individual
Provider Name (Legal Business Name) : JOELLE LUDWIG LAC
Provider Business Mailing Address
First Line : 518 FORT WASHINGTON AVE
Second Line : APT 2E
City : NEW YORK
State : NY
Zip : 10033-2050
Country : US
Telephone Number : 917-662-5219
Fax Number :
Provider Business Practice Location Address
First Line : 851 W 181ST ST
Second Line :
City : NEW YORK
State : NY
Zip : 10033-4436
Country : US
Telephone Number : 917-662-5219
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 03/18/2016
Last Update Date : 12/11/2024

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Directions to “ JOELLE LUDWIG LAC” Practice Location

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