MEDICARE: HANDS ON ACUPUNCTURE AND MASSAGE

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	225700000X	Massage Therapist
2	171100000X	Acupuncturist

General Provider Information

NPI Number	:	1629734231
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	HANDS ON ACUPUNCTURE AND MASSAGE

Provider Business Mailing Address
First Line	:	1239 N COUNTRY RD STE 3
Second Line	:
City	:	STONY BROOK
State	:	NY
Zip	:	11790-1920
Country	:	US
Telephone Number	:	631-626-0165
Fax Number	:	631-675-6709

Provider Business Practice Location Address
First Line	:	1239 N COUNTRY RD STE 3
Second Line	:
City	:	STONY BROOK
State	:	NY
Zip	:	11790-1920
Country	:	US
Telephone Number	:	631-626-0165
Fax Number	:	631-675-6709

Authorized Official
Title or Position	:	OFFICE MANAGER
Name	:	MS. AYSE ARKALI
Credential	:
Telephone Number	:	631-601-6491

Provider Enumeration Date	:	11/09/2021
Last Update Date	:	11/09/2021

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Directions to “HANDS ON ACUPUNCTURE AND MASSAGE ” Practice Location

Language	Start Address	Practice Location

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