MEDICARE: CROFTS ACUPUNCTURE PLLC

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

General Provider Information

NPI Number	:	1942888748
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	CROFTS ACUPUNCTURE PLLC

Provider Business Mailing Address
First Line	:	54 LYONS RD
Second Line	:
City	:	COLD SPRING
State	:	NY
Zip	:	10516-4045
Country	:	US
Telephone Number	:	303-330-1309
Fax Number	:

Provider Business Practice Location Address
First Line	:	54 LYONS RD
Second Line	:
City	:	COLD SPRING
State	:	NY
Zip	:	10516-4045
Country	:	US
Telephone Number	:	303-330-1309
Fax Number	:

Authorized Official
Title or Position	:	DOCTOR OF ACUPUNCTURE
Name	:	DR. JESSICA CROFTS
Credential	:	DACM
Telephone Number	:	303-330-1309

Provider Enumeration Date	:	04/01/2021
Last Update Date	:	04/01/2021

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