Body Mind Wellness Acupuncture

Primary specialty

AcupuncturistTaxonomy code 171100000X

Legal business name

BODY MIND WELLNESS ACUPUNCTURE

Practice address

215 Bay 35TH St
Brooklyn, NY 11214-5469

Phone

(646) 769-0478

Fax

(888) 543-7447

NPI assigned

Jan 10, 2022

Last updated

Jan 10, 2022By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Miss Anna Sidorkina, LACNPI 1467790410

Title

President

Phone

(646) 769-0478

Specialties & licenses 1

Addresses

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Anna Sidorkina, PRN

  • Acupuncturist
  • Brooklyn, NY
  • NPI 1467790410
  NPD Authorized official

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

{
    "created_epoch": "1641772800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1641772800000",
    "number": "1801557087",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "215 BAY 35TH ST",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112145469",
            "telephone_number": "646-769-0478",
            "fax_number": "888-543-7447"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "215 BAY 35TH ST",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112145469",
            "telephone_number": "646-769-0478",
            "fax_number": "888-543-7447"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BODY MIND WELLNESS ACUPUNCTURE",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-01-10",
        "last_updated": "2022-01-10",
        "certification_date": "2022-01-10",
        "status": "A",
        "authorized_official_last_name": "SIDORKINA",
        "authorized_official_first_name": "ANNA",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "646-769-0478",
        "authorized_official_name_prefix": "Miss",
        "authorized_official_credential": "LAC"
    },
    "taxonomies": [
        {
            "code": "171100000X",
            "taxonomy_group": "",
            "desc": "Acupuncturist",
            "state": "NU",
            "license": null,
            "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 Jan 10, 2022; 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.