Provider Demographics
NPI:1174199525
Name:CROSSING HEALTH ACUPUNCTURE
Entity type:Organization
Organization Name:CROSSING HEALTH ACUPUNCTURE
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:GABRIELA
Authorized Official - Middle Name:
Authorized Official - Last Name:CAMACHO-VASCONEZ
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:484-536-9197
Mailing Address - Street 1:101 S 3RD ST STE 203
Mailing Address - Street 2:
Mailing Address - City:EASTON
Mailing Address - State:PA
Mailing Address - Zip Code:18042-4524
Mailing Address - Country:US
Mailing Address - Phone:484-536-9197
Mailing Address - Fax:
Practice Address - Street 1:101 S 3RD ST STE 203
Practice Address - Street 2:
Practice Address - City:EASTON
Practice Address - State:PA
Practice Address - Zip Code:18042-4524
Practice Address - Country:US
Practice Address - Phone:484-536-9197
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2021-05-27
Last Update Date:2023-06-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes171100000XOther Service ProvidersAcupuncturistGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
PA000000OtherN/A
NAOtherN/A