MEDICARE: A&C MANAGEMENT NY, LLC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy
1	171100000X	Acupuncturist
2	171400000X	Health & Wellness Coach
3	225700000X	Massage Therapist

General Provider Information

NPI Number	:	1720919780
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	A&C MANAGEMENT NY, LLC

Provider Business Mailing Address
First Line	:	2073 MERRICK RD
Second Line	:
City	:	MERRICK
State	:	NY
Zip	:	11566-4703
Country	:	US
Telephone Number	:	516-412-6800
Fax Number	:

Provider Business Practice Location Address
First Line	:	2073 MERRICK RD
Second Line	:
City	:	MERRICK
State	:	NY
Zip	:	11566-4703
Country	:	US
Telephone Number	:	516-412-6800
Fax Number	:

Authorized Official
Title or Position	:	MEMBER
Name	:	CLAUDINE OUGOURLIAN
Credential	:
Telephone Number	:	646-812-4800

Provider Enumeration Date	:	05/28/2026
Last Update Date	:	05/28/2026

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