Union Street Acupuncture PC

Primary specialty

AcupuncturistTaxonomy code 171100000X

License

003955 Issued in NY

Legal business name

UNION STREET ACUPUNCTURE PC

Practice address

790A Union St
Brooklyn, NY 11215-1307

Phone

(347) 987-4399

Fax

(347) 987-4373

NPI assigned

Oct 5, 2016

Organization subpart

No

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

Authorized official

Name

Ms. Lisa Metzger, LAC

Title

Owner

Phone

(419) 618-1928

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1475625600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1475625600000",
    "number": "1609326438",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "790A UNION ST",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112151307",
            "telephone_number": "347-987-4399",
            "fax_number": "347-987-4373"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "790A UNION ST",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112151307",
            "telephone_number": "347-987-4399",
            "fax_number": "347-987-4373"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "UNION STREET ACUPUNCTURE PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-10-05",
        "last_updated": "2016-10-05",
        "status": "A",
        "authorized_official_last_name": "METZGER",
        "authorized_official_first_name": "LISA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "419-618-1928",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "LAC"
    },
    "taxonomies": [
        {
            "code": "171100000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Acupuncturist",
            "state": "NY",
            "license": "003955",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 5, 2016; 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.