Provider Demographics
NPI:1578637583
Name:ACUPUNCTURE HEALTHCARE PLLC
Entity type:Organization
Organization Name:ACUPUNCTURE HEALTHCARE PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:MR
Authorized Official - First Name:NORMAN
Authorized Official - Middle Name:H
Authorized Official - Last Name:SWED
Authorized Official - Suffix:
Authorized Official - Credentials:LAC
Authorized Official - Phone:516-773-3888
Mailing Address - Street 1:24 CARY RD
Mailing Address - Street 2:
Mailing Address - City:GREAT NECK
Mailing Address - State:NY
Mailing Address - Zip Code:11021-1518
Mailing Address - Country:US
Mailing Address - Phone:516-773-3888
Mailing Address - Fax:516-773-8069
Practice Address - Street 1:714 E PARK AVE
Practice Address - Street 2:
Practice Address - City:LONG BEACH
Practice Address - State:NY
Practice Address - Zip Code:11561-2605
Practice Address - Country:US
Practice Address - Phone:516-431-7972
Practice Address - Fax:516-431-7944
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-11-20
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY002005171100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes171100000XOther Service ProvidersAcupuncturistGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
NYP2748962OtherOXFORD
NY2G7322OtherEMPIRE BLUE CROSS BLUE SH
NY2G7323OtherEMPIRE BLUE CROSS BLUE SH