Provider Demographics
NPI:1114291804
Name:JAMES M. SHINOL, ACUPUNCTURE, PC
Entity Type:Organization
Organization Name:JAMES M. SHINOL, ACUPUNCTURE, PC
Other - Org Name:THINK ACUPUNCTURE
Other - Org Type:Doing Business As
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:MR
Authorized Official - First Name:JAMES
Authorized Official - Middle Name:MICHAEL
Authorized Official - Last Name:SHINOL
Authorized Official - Suffix:
Authorized Official - Credentials:LAC
Authorized Official - Phone:516-509-5444
Mailing Address - Street 1:650 HAWKINS AVE
Mailing Address - Street 2:SUITE 4
Mailing Address - City:RONKONKOMA
Mailing Address - State:NY
Mailing Address - Zip Code:11779-2366
Mailing Address - Country:US
Mailing Address - Phone:631-981-7422
Mailing Address - Fax:631-981-2490
Practice Address - Street 1:650 HAWKINS AVE
Practice Address - Street 2:SUITE 4
Practice Address - City:RONKONKOMA
Practice Address - State:NY
Practice Address - Zip Code:11779-2366
Practice Address - Country:US
Practice Address - Phone:631-981-7422
Practice Address - Fax:631-981-2490
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2012-02-28
Last Update Date:2012-02-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY002654171100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes171100000XOther Service ProvidersAcupuncturistGroup - Single Specialty