Fern Legters, L.AC.
Individual provider Active NPI Acupuncturist · Bloomfield, NY
NPI 1780949636 · NPPES record last updated Jul 6, 2012
Key facts
- NPI
- 1780949636
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Acupuncturist 171100000X
- License
- 004834-1 (NY)
- Practice address
- 7374 Gauss Road
Bloomfield, NY 14469 - Phone
- (585) 657-6033
- NPI assigned
- Jul 6, 2012
- Sex
- Female
- Sole proprietor
- Yes
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 |
|---|---|---|---|
| 004834-1 | NY | MD | Pediatric Physical Therapist |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Acupuncturist | 171100000X | 004834-1 | NY | Yes |
Addresses
Primary practice location
7374 Gauss Road
Bloomfield, NY 14469
Mailing address
7374 Gauss Rd
Bloomfield, NY 14469-9370
Phone (585) 657-6033
Other providers in Bloomfield, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 6, 2012. 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.