Provider Demographics
NPI:1073026522
Name:LIFTED HEART HEALING ARTS ACUPUNCTURE P.C.
Entity Type:Organization
Organization Name:LIFTED HEART HEALING ARTS ACUPUNCTURE P.C.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:LEAH
Authorized Official - Middle Name:SASHA
Authorized Official - Last Name:HAWK
Authorized Official - Suffix:
Authorized Official - Credentials:LAC
Authorized Official - Phone:914-402-6999
Mailing Address - Street 1:420 S RIVERSIDE AVE # 239
Mailing Address - Street 2:
Mailing Address - City:CROTON ON HUDSON
Mailing Address - State:NY
Mailing Address - Zip Code:10520-3055
Mailing Address - Country:US
Mailing Address - Phone:914-402-6999
Mailing Address - Fax:
Practice Address - Street 1:236 KINGS FERRY RD
Practice Address - Street 2:
Practice Address - City:VERPLANCK
Practice Address - State:NY
Practice Address - Zip Code:10596-7701
Practice Address - Country:US
Practice Address - Phone:914-402-6999
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2017-11-07
Last Update Date:2022-08-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes171100000XOther Service ProvidersAcupuncturistGroup - Single Specialty