Dylana Accolla, L.AC

Individual provider Active NPI Acupuncturist · Kingston, NY

NPI 1962641894 · NPPES record last updated Feb 17, 2009

Key facts

NPI
1962641894
Entity type
Individual (NPI type 1)
Primary specialty
Acupuncturist 171100000X
License
1815 (NY)
Practice address
303 Fair St
Floor 2
Kingston, NY 12401-3835
Phone
(845) 853-7353
Fax
(845) 853-7353
NPI assigned
Feb 17, 2009
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

LicenseStateTypeSpecialty
1815NYMDAudiologist

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Acupuncturist 171100000X 1815 NY Yes

Addresses

Primary practice location

303 Fair St
Floor 2
Kingston, NY 12401-3835

Mailing address

303 Fair St
Floor 2
Kingston, NY 12401-3835
Phone (845) 853-7353

Other providers in Kingston, NY

All providers in Kingston, NY · Acupuncturist in New York

Sources for this page

Verify at the official NPI Registry.