MEDICARE: CIFARELLI, NEILSEN, AND TOPPING ACUPUNCTURE AND PT PLLC

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	225100000X	Physical Therapist		NY
2	171100000X	Acupuncturist		NY

General Provider Information

NPI Number	:	1306396528
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	CIFARELLI, NEILSEN, AND TOPPING ACUPUNCTURE AND PT PLLC

Provider Business Mailing Address
First Line	:	500 PORTION RD
Second Line	:	SUITE 17
City	:	LAKE RONKONKOMA
State	:	NY
Zip	:	11779-4587
Country	:	US
Telephone Number	:	631-588-2298
Fax Number	:	631-588-2299

Provider Business Practice Location Address
First Line	:	500 PORTION RD
Second Line	:	SUITE 17
City	:	LAKE RONKONKOMA
State	:	NY
Zip	:	11779-4587
Country	:	US
Telephone Number	:	631-588-2298
Fax Number	:	631-588-2299

Authorized Official
Title or Position	:	OFFICE MANAGER
Name	:	MS. JILL ANN SZUFLADA
Credential	:
Telephone Number	:	631-588-2298

Provider Enumeration Date	:	10/12/2016
Last Update Date	:	10/12/2016

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