Dynamic Wellness Inc.

Primary specialty

AcupuncturistTaxonomy code 171100000X

License

005650 Issued in NY

Legal business name

DYNAMIC WELLNESS INC.

Practice address

6 Franconia Rd
East Northport, NY 11731-3911

Phone

(631) 682-9853

NPI assigned

Mar 2, 2017

Organization subpart

No

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

Authorized official

Name

Andrea Conte, LAC, LMT

Title

Licensed Acupunturist

Phone

(631) 682-9853

Specialties & licenses 2

Addresses

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

{
    "created_epoch": "1488412800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1488412800000",
    "number": "1356881809",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6 FRANCONIA RD",
            "city": "EAST NORTHPORT",
            "state": "NY",
            "postal_code": "117313911",
            "telephone_number": "631-682-9853"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6 FRANCONIA RD",
            "city": "EAST NORTHPORT",
            "state": "NY",
            "postal_code": "117313911",
            "telephone_number": "631-682-9853"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DYNAMIC WELLNESS INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-03-02",
        "last_updated": "2017-03-02",
        "status": "A",
        "authorized_official_last_name": "CONTE",
        "authorized_official_first_name": "ANDREA",
        "authorized_official_title_or_position": "LICENSED ACUPUNTURIST",
        "authorized_official_telephone_number": "631-682-9853",
        "authorized_official_credential": "LAC, LMT"
    },
    "taxonomies": [
        {
            "code": "171100000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Acupuncturist",
            "state": "NY",
            "license": "005650",
            "primary": true
        },
        {
            "code": "225700000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Massage Therapist",
            "state": "NY",
            "license": "025341",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Alexis Doxey, RN
• Dr. Jennifer McMonigle Medical, P.C. (McMonigle-Neurology Associates)
• Catherine Drasdo
• Shawna Dullaghan, RD
• Jessica Louise Dwyer-Golembiowski, MS
• East Northport Fire District
• East Northport Medical Care PLLC
• Elizabeth Ann Eckhardt, LCSW, PHD
• Anna Elkiki
• Susan Ann Ellenis, M.S.

• Acupuncturist in East Northport, NY
• Providers in East Northport, NY by specialty
• Acupuncturist in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 2, 2017; 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.