Roy Amazalorso, LAC LICENSED ACUPUNC

Primary specialty

AcupuncturistTaxonomy code 171100000X

License

000204 Issued in NY

Practice address

2117 Crompond Road
Suite 1a
Coatlandt Manor, NY 10567

Phone

(914) 737-0176

Fax

(914) 737-0383

NPI assigned

Feb 7, 2007

Last updated

Jul 8, 2007By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1170806400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1376683896",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12 VALERIE LANE",
            "city": "CORTLANDT MANOR",
            "state": "NY",
            "postal_code": "10567",
            "telephone_number": "914-739-6387",
            "fax_number": "914-739-6387"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2117 CROMPOND ROAD",
            "address_2": "SUITE 1A",
            "city": "COATLANDT MANOR",
            "state": "NY",
            "postal_code": "10567",
            "telephone_number": "914-737-0176",
            "fax_number": "914-737-0383"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "AMAZALORSO",
        "first_name": "ROY",
        "name_prefix": "Dr.",
        "credential": "LAC LICENSED ACUPUNC",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-02-07",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "171100000X",
            "taxonomy_group": "",
            "desc": "Acupuncturist",
            "state": "NY",
            "license": "000204",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.