Provider Demographics
NPI:1871543470
Name:EASTWEST HEALING ARTS & ACUPUNCTURE, LLC
Entity type:Organization
Organization Name:EASTWEST HEALING ARTS & ACUPUNCTURE, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:MR
Authorized Official - First Name:JAMES
Authorized Official - Middle Name:LYNN
Authorized Official - Last Name:ELKIN
Authorized Official - Suffix:
Authorized Official - Credentials:LAC
Authorized Official - Phone:914-629-4680
Mailing Address - Street 1:23 ROCKLEDGE RD
Mailing Address - Street 2:APARTMENT 2B
Mailing Address - City:HARTSDALE
Mailing Address - State:NY
Mailing Address - Zip Code:10530-3421
Mailing Address - Country:US
Mailing Address - Phone:914-713-1698
Mailing Address - Fax:
Practice Address - Street 1:111 N CENTRAL AVE
Practice Address - Street 2:SUITE 231
Practice Address - City:HARTSDALE
Practice Address - State:NY
Practice Address - Zip Code:10530-1903
Practice Address - Country:US
Practice Address - Phone:914-629-1611
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-05-12
Last Update Date:2009-12-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY001493171100000X
NY001299171100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes171100000XOther Service ProvidersAcupuncturistGroup - Multi-Specialty