Wellspring of Life Acupuncture, PC

Primary specialty

AcupuncturistTaxonomy code 171100000X

License

004487 Issued in NY

Legal business name

WELLSPRING OF LIFE ACUPUNCTURE, PC

Practice address

2171 Jericho Tpke
Suite 135
Commack, NY 11725-2937

Phone

(631) 670-6690

NPI assigned

Mar 3, 2017

Organization subpart

No

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

Authorized official

Name

Melissa Peters, L.AC.

Title

Owner, President

Phone

(631) 896-0403

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1488499200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1488499200000",
    "number": "1376083774",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 2236",
            "city": "AQUEBOGUE",
            "state": "NY",
            "postal_code": "119312236",
            "telephone_number": "631-896-0403"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2171 JERICHO TPKE",
            "address_2": "SUITE 135",
            "city": "COMMACK",
            "state": "NY",
            "postal_code": "117252937",
            "telephone_number": "631-670-6690"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WELLSPRING OF LIFE ACUPUNCTURE, PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-03-03",
        "last_updated": "2017-03-03",
        "status": "A",
        "authorized_official_last_name": "PETERS",
        "authorized_official_first_name": "MELISSA",
        "authorized_official_title_or_position": "OWNER, PRESIDENT",
        "authorized_official_telephone_number": "631-896-0403",
        "authorized_official_credential": "L.AC."
    },
    "taxonomies": [
        {
            "code": "171100000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Acupuncturist",
            "state": "NY",
            "license": "004487",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Cindy W Weinberg Steinbach
• Emma Samm Weinstein, LPN
• Lewis Joseph Weinstein, M.D.
• Julie Weisberg, NP, RN
• David S Weisman, DDS
• Virginia Wenzel, RPH
• Dava Werblin Zakarin, LCSWR
• Margaret Mary Wetzel, MS,SLP-CCC
• Benjamin W White, M.D.
• Sarah White

• Acupuncturist in Commack, NY
• Providers in Commack, 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 3, 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.