Provider Demographics
NPI:1891670634
Name:STIMPSON, ALIYA L A (DAC, LAC)
Entity type:Individual
Prefix:
First Name:ALIYA
Middle Name:L A
Last Name:STIMPSON
Suffix:
Gender:F
Credentials:DAC, LAC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:10 SACKMAN ST APT 12
Mailing Address - Street 2:
Mailing Address - City:BROOKLYN
Mailing Address - State:NY
Mailing Address - Zip Code:11233-2948
Mailing Address - Country:US
Mailing Address - Phone:267-246-6962
Mailing Address - Fax:
Practice Address - Street 1:141 S 5TH ST, OFC WEST
Practice Address - Street 2:SUITE # 5
Practice Address - City:BROOKLYN
Practice Address - State:NY
Practice Address - Zip Code:11211-5597
Practice Address - Country:US
Practice Address - Phone:267-246-6962
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2025-08-11
Last Update Date:2025-08-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY007704171100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171100000XOther Service ProvidersAcupuncturist