Provider Demographics
NPI:1003512047
Name:WELLNESS ON POINT ACUPUNCTURE OF SOUTH SHORE, P.C.
Entity Type:Organization
Organization Name:WELLNESS ON POINT ACUPUNCTURE OF SOUTH SHORE, P.C.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:TRACEY
Authorized Official - Middle Name:ALIZA
Authorized Official - Last Name:STEINBERGER
Authorized Official - Suffix:
Authorized Official - Credentials:DACM, LAC
Authorized Official - Phone:516-652-8705
Mailing Address - Street 1:525 CHESTNUT ST STE 214
Mailing Address - Street 2:
Mailing Address - City:CEDARHURST
Mailing Address - State:NY
Mailing Address - Zip Code:11516-2248
Mailing Address - Country:US
Mailing Address - Phone:516-652-8705
Mailing Address - Fax:
Practice Address - Street 1:525 CHESTNUT ST STE 214
Practice Address - Street 2:
Practice Address - City:CEDARHURST
Practice Address - State:NY
Practice Address - Zip Code:11516-2248
Practice Address - Country:US
Practice Address - Phone:516-652-8705
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2023-02-01
Last Update Date:2023-02-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes171100000XOther Service ProvidersAcupuncturistGroup - Multi-Specialty