Active NPI
Life Cycles Clinic
- Acupuncturist
- Latham, NY
National Provider Identifier
1154892909
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Acupuncturist
- Legal business name
- LIFE CYCLES CLINIC
- Practice address
- 839 New Loudon Rd Ste 1
Latham, NY 12110-6101 - Phone
- (518) 504-6600
- Fax
- (617) 221-9734
- NPI assigned
- Dec 5, 2018
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Katya Galay, LAC
- Title
- Clinic Owner
- Phone
- (518) 504-6600
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Acupuncturist | 171100000X | Primary |
Addresses
Primary practice location
839 New Loudon Rd Ste 1
Latham, NY 12110-6101
Mailing address
288 South River Road
BLDG a, Unit 1
Bedford, NH 03110
Phone (603) 399-6600
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1750837092 | Other | NPI |
National Provider Directory
National Provider DirectoryLocations
839 New Loudon Rd
Ste 1
Latham, NY 12110
Phone (518) 504-6600
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Acupuncturist
- Latham, NY
- NPI 1750837092
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1543968000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1649116800000",
"number": "1154892909",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "288 SOUTH RIVER ROAD",
"address_2": "BLDG A, UNIT 1",
"city": "BEDFORD",
"state": "NH",
"postal_code": "03110",
"telephone_number": "603-399-6600",
"fax_number": "617-221-9734"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "839 NEW LOUDON RD STE 1",
"city": "LATHAM",
"state": "NY",
"postal_code": "121106101",
"telephone_number": "518-504-6600",
"fax_number": "617-221-9734"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "LIFE CYCLES CLINIC",
"organizational_subpart": "NO",
"enumeration_date": "2018-12-05",
"last_updated": "2022-04-05",
"certification_date": "2022-04-05",
"status": "A",
"authorized_official_last_name": "GALAY",
"authorized_official_first_name": "KATYA",
"authorized_official_title_or_position": "CLINIC OWNER",
"authorized_official_telephone_number": "518-504-6600",
"authorized_official_credential": "LAC"
},
"taxonomies": [
{
"code": "171100000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Acupuncturist",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "NPI",
"identifier": "1750837092",
"state": null
}
],
"endpoints": [],
"other_names": []
}
Other providers in Latham, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 5, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.