Corey Distasio, L.Ac., PLLC

Primary specialty

AcupuncturistTaxonomy code 171100000X

Legal business name

COREY DISTASIO, L.AC., PLLC

Practice address

217 E 22ND St Apt 32
New York, NY 10010-4614

Phone

(917) 881-4878

NPI assigned

Dec 21, 2023

Organization subpart

No

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

Authorized official

Name

Corey Di Stasio, L.AC.NPI 1558531228

Title

Owner

Phone

(917) 881-4878

Specialties & licenses 1

Addresses

Practitioners 1

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

• Corey Di Stasio, L.AC.

  • Acupuncturist
  • New York, NY
  • NPI 1558531228
  NPD Authorized official

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

{
    "created_epoch": "1703116800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1703116800000",
    "number": "1548039381",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "217 E 22ND ST APT 32",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100104614",
            "telephone_number": "917-881-4878"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "217 E 22ND ST APT 32",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100104614",
            "telephone_number": "917-881-4878"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COREY DISTASIO, L.AC., PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-12-21",
        "last_updated": "2023-12-21",
        "certification_date": "2023-12-21",
        "status": "A",
        "authorized_official_last_name": "DI STASIO",
        "authorized_official_first_name": "COREY",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "917-881-4878",
        "authorized_official_credential": "L.AC."
    },
    "taxonomies": [
        {
            "code": "171100000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Acupuncturist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Peter D. Corens, PHD
• Maria Alicia Corera, MA, LMHC
• Corestory Psychology Services PC
• Robert Frank Coreth, D.C.
• Corey Black DMD PLLC
• Corey Love Mental Health Counseling
• Corey W Hunter, MD PLLC
• Corey W. Hunter, MD PLLC
• Tiffany Corey
• Isabelle Corgel

• Acupuncturist in New York, NY
• Providers in New York, NY by specialty
• Acupuncturist in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 21, 2023; 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.