MEDICARE: MS. CAROLINE STRASSBERG L.AC,M.AC,M.A.

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	004709	NY
2	171100000X	Acupuncturist	25MZ00077900	NJ

General Provider Information

NPI Number	:	1760765267
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MS. CAROLINE STRASSBERG L.AC,M.AC,M.A.

Provider Business Mailing Address
First Line	:	172 E CEDAR ST
Second Line	:
City	:	LIVINGSTON
State	:	NJ
Zip	:	07039-4103
Country	:	US
Telephone Number	:	503-290-4391
Fax Number	:

Provider Business Practice Location Address
First Line	:	108 ORANGE RD STE 301
Second Line	:
City	:	MONTCLAIR
State	:	NJ
Zip	:	07042-2133
Country	:	US
Telephone Number	:	503-290-4391
Fax Number	:	201-710-5419

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

Provider Enumeration Date	:	09/21/2011
Last Update Date	:	02/07/2021

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