Stephanie Koslowski, A.P.

Individual provider Active NPI Acupuncturist · Homer, NY

NPI 1437385291 · NPPES record last updated Mar 17, 2018

Key facts

NPI
1437385291
Entity type
Individual (NPI type 1)
Primary specialty
Acupuncturist 171100000X
License
005696-1 (NY)
Practice address
6 N Main St
Homer, NY 13077-1315
Phone
(607) 218-2048
NPI assigned
Jun 8, 2009
Sex
Female
Sole proprietor
Yes

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
No

State licenses

LicenseStateTypeSpecialty
AP2547FLMDAcupuncturist
005696-1NYMDAcupuncturist

Practice roles

OrganizationSpecialtyStatusNew patients
Mindful Harmony LLC Acupuncturist Past
since Oct 20, 2019
Accepting new patients

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Acupuncturist 171100000X 005696-1 NY Yes
Acupuncturist 171100000X AP2547 FL

Addresses

Primary practice location

6 N Main St
Homer, NY 13077-1315

Mailing address

67 N Main St
Homer, NY 13077-1118
Phone (315) 430-8850

Other practice location 1

5 N Main St
Homer, NY 13077-1314
Phone (607) 218-2048

Other providers in Homer, NY

All providers in Homer, NY · Acupuncturist in New York

Sources for this page

Verify at the official NPI Registry.