OB Acupuncture PC

Primary specialty

AcupuncturistTaxonomy code 171100000X

Legal business name

OB ACUPUNCTURE PC

Practice address

1 Fulton Ave
Suite 10
Hempstead, NY 11550-3646

Phone

(516) 292-2993

NPI assigned

Jan 23, 2011

Organization subpart

No

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

Authorized official

Name

Oleg Bazylko, LAC

Title

President

Phone

(516) 292-2993

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1295740800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1295740800000",
    "number": "1467757484",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2940 W 5TH ST",
            "address_2": "18B",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112243832"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1 FULTON AVE",
            "address_2": "SUITE 10",
            "city": "HEMPSTEAD",
            "state": "NY",
            "postal_code": "115503646",
            "telephone_number": "516-292-2993"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "OB ACUPUNCTURE PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-01-23",
        "last_updated": "2011-01-23",
        "status": "A",
        "authorized_official_last_name": "BAZYLKO",
        "authorized_official_first_name": "OLEG",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "516-292-2993",
        "authorized_official_credential": "LAC"
    },
    "taxonomies": [
        {
            "code": "171100000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Acupuncturist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 23, 2011; 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.