Provider Demographics
NPI:1083140529
Name:ACUSPIRA ACUPUNCTURE PLLC
Entity Type:Organization
Organization Name:ACUSPIRA ACUPUNCTURE PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:SUZANNE
Authorized Official - Middle Name:
Authorized Official - Last Name:STOLZBERG
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:212-877-8118
Mailing Address - Street 1:23 WAVERLY PL
Mailing Address - Street 2:SUITE 2I
Mailing Address - City:NEW YORK
Mailing Address - State:NY
Mailing Address - Zip Code:10003-6707
Mailing Address - Country:US
Mailing Address - Phone:212-877-8118
Mailing Address - Fax:
Practice Address - Street 1:928 BROADWAY STE 400
Practice Address - Street 2:
Practice Address - City:NEW YORK
Practice Address - State:NY
Practice Address - Zip Code:10010-8149
Practice Address - Country:US
Practice Address - Phone:646-481-9177
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2017-05-03
Last Update Date:2022-07-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY005878171100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes171100000XOther Service ProvidersAcupuncturistGroup - Single Specialty