Julie Dwyer, LAC
Individual provider Active NPI Acupuncturist · Bayport, NY
NPI 1306379391 · NPPES record last updated Apr 6, 2017
Key facts
- NPI
- 1306379391
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Acupuncturist 171100000X
- License
- 005961 (NY)
- Practice address
- 237 April LN
Bayport, NY 11705-1709 - Phone
- (631) 334-2839
- NPI assigned
- Apr 6, 2017
- Sex
- Female
- Sole proprietor
- Yes
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 005961 | NY | MD | Chiropractor |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Acupuncturist | 171100000X | 005961 | NY | Yes |
Addresses
Primary practice location
237 April LN
Bayport, NY 11705-1709
Mailing address
237 April LN
Bayport, NY 11705-1709
Phone (631) 334-2839
Other providers in Bayport, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Apr 6, 2017. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.