MEDICARE: MR. JAMES STANTON BARE 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
1	171100000X	Acupuncturist	001157	NY

General Provider Information

NPI Number	:	1568517951
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MR. JAMES STANTON BARE L.AC.

Provider Business Mailing Address
First Line	:	7 SMALLWOOD PL
Second Line	:
City	:	WHITE PLAINS
State	:	NY
Zip	:	10603-2311
Country	:	US
Telephone Number	:	914-428-9215
Fax Number	:

Provider Business Practice Location Address
First Line	:	600 N BROADWAY
Second Line	:	SUITE 207
City	:	WHITE PLAINS
State	:	NY
Zip	:	10603-2466
Country	:	US
Telephone Number	:	914-661-3072
Fax Number	:

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

Provider Enumeration Date	:	01/24/2007
Last Update Date	:	07/08/2007

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