Live Well Acupuncture P. C.

Primary specialty

AcupuncturistTaxonomy code 171100000X

License

003439 Issued in NY

Legal business name

LIVE WELL ACUPUNCTURE P. C.

Practice address

4011 59TH St
Woodside, NY 11377-4837

Phone

(718) 440-1189

NPI assigned

May 2, 2008

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Maria Gilany Tom, L. AC.

Title

President

Phone

(718) 440-1189

Specialties & licenses 1

Addresses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1209686400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1211328000000",
    "number": "1205002987",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4011 59TH ST",
            "city": "WOODSIDE",
            "state": "NY",
            "postal_code": "113774837"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4011 59TH ST",
            "city": "WOODSIDE",
            "state": "NY",
            "postal_code": "113774837",
            "telephone_number": "718-440-1189"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LIVE WELL ACUPUNCTURE P. C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-05-02",
        "last_updated": "2008-05-21",
        "status": "A",
        "authorized_official_last_name": "TOM",
        "authorized_official_first_name": "MARIA",
        "authorized_official_middle_name": "GILANY",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "718-440-1189",
        "authorized_official_credential": "L. AC."
    },
    "taxonomies": [
        {
            "code": "171100000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Acupuncturist",
            "state": "NY",
            "license": "003439",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 21, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.