Diane Fay Carrk, ACUPUNCTURIST
Individual provider Active NPI Acupuncturist · Middleburgh, NY
NPI 1700599537 · NPPES record last updated Dec 26, 2022
Key facts
- NPI
- 1700599537
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Acupuncturist 171100000X
- License
- 007223 (NY)
- Practice address
- 288 Main St
Middleburgh, NY 12122-6519 - Phone
- (518) 810-5224
- NPI assigned
- Dec 26, 2022
- Sex
- Female
- Sole proprietor
- No
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 007223 | NY | MD | Pediatric Physical Therapist |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Acupuncturist | 171100000X | 007223 | NY | Yes |
Addresses
Primary practice location
288 Main St
Middleburgh, NY 12122-6519
Mailing address
288 Main St Ste 5
Middleburgh, NY 12122-6519
Phone (518) 810-5224
Other practice location 1
288 Main St Ste 5
Middleburgh, NY 12122-6519
Phone (518) 810-5224
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 843850215 | Medicaid | NY |
Electronic endpoints
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Other URL | www.acusimple.com |
Other providers in Middleburgh, NY
- Caroline E Marie Andrew
- Felicia Bacon
- Bassett Healthcare Middleburgh
- Peter H Bennett
- Joanne P Coonradt
- Jenna Crull
- Sydney Dethomasis
- Sierra Diamond
- Lisa M Donnini
All providers in Middleburgh, NY · Acupuncturist in New York
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Dec 26, 2022. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.