MEDICARE: TONI JAY HAUGEN L.A.C. MSTOM

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	25004988	NY

General Provider Information

NPI Number	:	1558816611
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	TONI JAY HAUGEN L.A.C. MSTOM

Provider Business Mailing Address
First Line	:	1250 NIAGARA ST STE 200
Second Line	:
City	:	BUFFALO
State	:	NY
Zip	:	14213-1776
Country	:	US
Telephone Number	:	716-325-0427
Fax Number	:	716-242-4580

Provider Business Practice Location Address
First Line	:	1250 NIAGARA ST STE 200
Second Line	:
City	:	BUFFALO
State	:	NY
Zip	:	14213-1776
Country	:	US
Telephone Number	:	716-325-0427
Fax Number	:	716-242-4580

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

Provider Enumeration Date	:	08/18/2016
Last Update Date	:	05/01/2026

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