Provider Demographics
NPI:1225411952
Name:KIMURA ACUPUNCTURE P.C.
Entity Type:Organization
Organization Name:KIMURA ACUPUNCTURE P.C.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:LICENSED ACUPUNCTURIST
Authorized Official - Prefix:MS
Authorized Official - First Name:RUMIKO
Authorized Official - Middle Name:
Authorized Official - Last Name:KIMURA-GALZINA
Authorized Official - Suffix:
Authorized Official - Credentials:LAC
Authorized Official - Phone:516-882-1292
Mailing Address - Street 1:99 HILLSIDE AVE STE R
Mailing Address - Street 2:
Mailing Address - City:WILLISTON PARK
Mailing Address - State:NY
Mailing Address - Zip Code:11596-2368
Mailing Address - Country:US
Mailing Address - Phone:516-882-1292
Mailing Address - Fax:
Practice Address - Street 1:99 HILLSIDE AVE
Practice Address - Street 2:SUITE K
Practice Address - City:WILLISTON PARK
Practice Address - State:NY
Practice Address - Zip Code:11596-2352
Practice Address - Country:US
Practice Address - Phone:516-882-1292
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2015-06-30
Last Update Date:2023-05-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY003839171100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes171100000XOther Service ProvidersAcupuncturistGroup - Single Specialty