MEDICARE: A NEW LIFE ACUPUNCTURE

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	:	1972385094
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	A NEW LIFE ACUPUNCTURE

Provider Business Mailing Address
First Line	:	2139 N UNION ST STE 7
Second Line	:
City	:	SPENCERPORT
State	:	NY
Zip	:	14559-1261
Country	:	US
Telephone Number	:	585-746-2187
Fax Number	:

Provider Business Practice Location Address
First Line	:	2139 N UNION ST STE 7
Second Line	:
City	:	SPENCERPORT
State	:	NY
Zip	:	14559-1261
Country	:	US
Telephone Number	:	585-746-2187
Fax Number	:

Authorized Official
Title or Position	:	OWNER
Name	:	DR. PATRICK BOSWELL
Credential	:	DACM, LAC
Telephone Number	:	585-746-2187

Provider Enumeration Date	:	10/16/2023
Last Update Date	:	10/16/2023

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Directions to “A NEW LIFE ACUPUNCTURE ” Practice Location

Language	Start Address	Practice Location

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