Inner Source Wellness Acupuncture, P.C.

Primary specialty

AcupuncturistTaxonomy code 171100000X

Legal business name

INNER SOURCE WELLNESS ACUPUNCTURE, P.C.

Practice address

11 Stewart Ave
Huntington, NY 11743-2738

Phone

(631) 421-1848

NPI assigned

Mar 9, 2022

Organization subpart

No

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

Authorized official

Name

Josephine Logiudice, ND, LACNPI 1396138137

Title

Owner

Phone

(631) 421-1848

Specialties & licenses 1

Addresses

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Josephine Logiudice

  • Acupuncturist
  • Huntington, NY
  • NPI 1396138137
  NPD Authorized official

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

{
    "created_epoch": "1646784000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1646784000000",
    "number": "1467109306",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11 STEWART AVE",
            "city": "HUNTINGTON",
            "state": "NY",
            "postal_code": "117432738",
            "telephone_number": "631-421-1848"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11 STEWART AVE",
            "city": "HUNTINGTON",
            "state": "NY",
            "postal_code": "117432738",
            "telephone_number": "631-421-1848"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "INNER SOURCE WELLNESS ACUPUNCTURE, P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-03-09",
        "last_updated": "2022-03-09",
        "certification_date": "2022-03-09",
        "status": "A",
        "authorized_official_last_name": "LOGIUDICE",
        "authorized_official_first_name": "JOSEPHINE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "631-421-1848",
        "authorized_official_credential": "ND, LAC"
    },
    "taxonomies": [
        {
            "code": "171100000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Acupuncturist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Acupuncturist in Huntington, NY
• Providers in Huntington, 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 9, 2022; 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.