Phoenix Eastern Acupncture PC

Primary specialty

AcupuncturistTaxonomy code 171100000X

License

001739-1 Issued in NY

Legal business name

PHOENIX EASTERN ACUPNCTURE PC

Practice address

393 Jericho Tpke
Suite 207
Mineola, NY 11501-1200

Phone

(516) 742-0637

Fax

(516) 742-0318

NPI assigned

Jun 20, 2007

Organization subpart

No

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

Authorized official

Name

Mrs. Genevieve Lee, L.AC.NPI 1114004629

Title

President

Phone

(516) 742-0637

Specialties & licenses 1

Addresses

Other names 1

• Phoenix Eastern Medicine Center Doing business as

Tax ID family

Phoenix Eastern Acupncture PC2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

• Phoenix Eastern Acupuncture

  • Acupuncturist
  • Farmingdale, NY
  • NPI 1447656210
  NPD tax ID

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Genevieve Lee, LAC

  • Acupuncturist
  • Mineola, NY
  • NPI 1114004629
  NPD (past) Authorized official

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

{
    "created_epoch": "1182297600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1861697633",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "393 JERICHO TPKE",
            "address_2": "SUITE 207",
            "city": "MINEOLA",
            "state": "NY",
            "postal_code": "115011200",
            "telephone_number": "516-742-0637",
            "fax_number": "516-742-0318"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "393 JERICHO TPKE",
            "address_2": "SUITE 207",
            "city": "MINEOLA",
            "state": "NY",
            "postal_code": "115011200",
            "telephone_number": "516-742-0637",
            "fax_number": "516-742-0318"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PHOENIX EASTERN ACUPNCTURE PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-06-20",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "LEE",
        "authorized_official_first_name": "GENEVIEVE",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "516-742-0637",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "L.AC."
    },
    "taxonomies": [
        {
            "code": "171100000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Acupuncturist",
            "state": "NY",
            "license": "001739-1",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Phoenix Eastern Medicine Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Nicy Philip
• Priscilla Mary Philip
• Sherin Philip, NP
• Jessica Phillip, NP
• Heidi Nicole Phillips, RPA-C
• Physical Solutions LLP
• Nicholas Piarulli, MD
• Ashley Piazza
• Caroline Christine Piazza, PA
• Dyana Lauren Picache, DO

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.