Menard Acupuncture, P.C.

Primary specialty

AcupuncturistTaxonomy code 171100000X

License

4842 Issued in NY

Legal business name

MENARD ACUPUNCTURE, P.C.

Practice address

39 Division St
Sag Harbor, NY 11963-3156

Phone

(631) 899-4112

NPI assigned

Mar 13, 2017

Organization subpart

No

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

Authorized official

Name

Kevin Menard, LAC

Title

Owner

Phone

(631) 899-4112

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1489363200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1489363200000",
    "number": "1699216408",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "39 DIVISION ST",
            "address_2": "PO BOX 2271",
            "city": "SAG HARBOR",
            "state": "NY",
            "postal_code": "119633156",
            "telephone_number": "631-899-4112"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "39 DIVISION ST",
            "city": "SAG HARBOR",
            "state": "NY",
            "postal_code": "119633156",
            "telephone_number": "631-899-4112"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MENARD ACUPUNCTURE, P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-03-13",
        "last_updated": "2017-03-13",
        "status": "A",
        "authorized_official_last_name": "MENARD",
        "authorized_official_first_name": "KEVIN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "631-899-4112",
        "authorized_official_credential": "LAC"
    },
    "taxonomies": [
        {
            "code": "171100000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Acupuncturist",
            "state": "NY",
            "license": "4842",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Ian M Mannix, DPT
• Barry Marcus, RPH
• Damian A Marrese, DO
• Laurie Ann Marsden, LCSW
• Medical Office of Doctor Ilona K Polak PC
• Kevin Anthony Menard, LAC
• Michelle Mesa
• Katie Miller
• Katherine Mitchell, LCSW
• Lucy Moussignac, MD

• Acupuncturist in Sag Harbor, NY
• Providers in Sag Harbor, 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 13, 2017; 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.