Sacred Space Acupuncture Inc

Primary specialty

AcupuncturistTaxonomy code 171100000X

License

0027681 Issued in NY

Legal business name

SACRED SPACE ACUPUNCTURE INC

Practice address

97 S Broadway
Nyack, NY 10960-4434

Phone

(347) 886-9695

NPI assigned

Aug 15, 2013

Last updated

Aug 15, 2013By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Ms. Deborah Hilderley

Title

Billing Representative

Phone

(352) 683-3855

Specialties & licenses 2

Addresses

Locations

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

{
    "created_epoch": "1376524800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1376524800000",
    "number": "1225461023",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "97 S BROADWAY",
            "city": "NYACK",
            "state": "NY",
            "postal_code": "109604434",
            "telephone_number": "347-886-9695"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "97 S BROADWAY",
            "city": "NYACK",
            "state": "NY",
            "postal_code": "109604434",
            "telephone_number": "347-886-9695"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SACRED SPACE ACUPUNCTURE INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-08-15",
        "last_updated": "2013-08-15",
        "status": "A",
        "authorized_official_last_name": "HILDERLEY",
        "authorized_official_first_name": "DEBORAH",
        "authorized_official_title_or_position": "BILLING REPRESENTATIVE",
        "authorized_official_telephone_number": "352-683-3855",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "171100000X",
            "taxonomy_group": "",
            "desc": "Acupuncturist",
            "state": "NY",
            "license": "0027681",
            "primary": true
        },
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NY",
            "license": "0180411",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Lauren Roy, LMSW
• Peter G. Roy, D.C.
• RTC Physical Therapy, PLLC
• Bruce Alan Ruderman, DC
• Irina Rybalova, MD
• Taylor Sadowski, FNP
• Marsha Safran, PH.D.
• Stephen Brian Safran, PH.D.
• Eryka Sajek, PSY.D
• Sonu Saju

• Acupuncturist in Nyack, NY
• Providers in Nyack, NY by specialty
• Acupuncturist in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 15, 2013; 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.