Provider Demographics
NPI:1225575178
Name:NOA HEALTH AND ACUPUNCTURE LLC
Entity Type:Organization
Organization Name:NOA HEALTH AND ACUPUNCTURE LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:MRS
Authorized Official - First Name:IRIS
Authorized Official - Middle Name:
Authorized Official - Last Name:NETZER-GREENFIELD
Authorized Official - Suffix:
Authorized Official - Credentials:LAC
Authorized Official - Phone:203-635-5151
Mailing Address - Street 1:PO BOX 734
Mailing Address - Street 2:
Mailing Address - City:WESTPORT
Mailing Address - State:CT
Mailing Address - Zip Code:06881-0734
Mailing Address - Country:US
Mailing Address - Phone:203-635-5151
Mailing Address - Fax:309-214-6620
Practice Address - Street 1:37 FRANKLIN ST STE 1
Practice Address - Street 2:
Practice Address - City:WESTPORT
Practice Address - State:CT
Practice Address - Zip Code:06880-5938
Practice Address - Country:US
Practice Address - Phone:203-635-5151
Practice Address - Fax:309-214-6620
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2017-01-30
Last Update Date:2017-01-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CT000542171100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes171100000XOther Service ProvidersAcupuncturistGroup - Single Specialty