MEDICARE: 5 POINT 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	:	1992110324
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	5 POINT ACUPUNCTURE PLLC

Provider Business Mailing Address
First Line	:	37 W 20TH ST
Second Line	:	SUITE 806
City	:	NEW YORK
State	:	NY
Zip	:	10011-3706
Country	:	US
Telephone Number	:	917-327-0827
Fax Number	:

Provider Business Practice Location Address
First Line	:	37 W 20TH ST
Second Line	:	SUITE 806
City	:	NEW YORK
State	:	NY
Zip	:	10011-3706
Country	:	US
Telephone Number	:	917-327-0827
Fax Number	:

Authorized Official
Title or Position	:	BILLING REP
Name	:	MS. DEBORAH HILDERLEY
Credential	:
Telephone Number	:	352-683-3855

Provider Enumeration Date	:	06/24/2014
Last Update Date	:	06/24/2014

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