Stefanie Vidal Acupuncture PLLC

Primary specialty

AcupuncturistTaxonomy code 171100000X

Legal business name

STEFANIE VIDAL ACUPUNCTURE PLLC

Practice address

16 Quaker Ave Stop 5
Cornwall, NY 12518-2113

Phone

(917) 684-6743

NPI assigned

Nov 12, 2025

Organization subpart

No

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

Authorized official

Name

Stefanie Vidal, LACNPI 1154186609

Title

Owner

Phone

(917) 684-6743

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.

• Stefanie Vidal, LAC.

  • Acupuncturist
  • New Windsor, NY
  • NPI 1154186609
  NPD Authorized official

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

{
    "created_epoch": "1762905600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1762905600000",
    "number": "1629938840",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "20 SHELDON DR",
            "city": "CORNWALL",
            "state": "NY",
            "postal_code": "125181614",
            "telephone_number": "917-684-6743"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "16 QUAKER AVE STOP 5",
            "city": "CORNWALL",
            "state": "NY",
            "postal_code": "125182113",
            "telephone_number": "917-684-6743"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "STEFANIE VIDAL ACUPUNCTURE PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-11-12",
        "last_updated": "2025-11-12",
        "certification_date": "2025-11-12",
        "status": "A",
        "authorized_official_last_name": "VIDAL",
        "authorized_official_first_name": "STEFANIE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "917-684-6743",
        "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": []
}

• Gina Maria Smith, RN
• Philip Sheridan Smith, M.D.
• St Luke'S Cornwall Hospital
• St Luke'S Cornwall Hospital
• St. Luke'S Cornwall JV, LLC
• Thomas Patrick Stein, DDS
• Supportive Immediate Care
• Julie Taft, LMHC
• Temmel Physical Therapy, PLLC
• The Nitesurgeon PLLC

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 12, 2025; 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.