Provider Demographics
NPI:1245557081
Name:BASIN ACUPUNCTURE
Entity Type:Organization
Organization Name:BASIN ACUPUNCTURE
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:ACUPUNCTURIST
Authorized Official - Prefix:
Authorized Official - First Name:JULIE
Authorized Official - Middle Name:RITA
Authorized Official - Last Name:MURANTE
Authorized Official - Suffix:
Authorized Official - Credentials:LAC
Authorized Official - Phone:585-329-8332
Mailing Address - Street 1:125 SULLYS TRL STE 6A
Mailing Address - Street 2:
Mailing Address - City:PITTSFORD
Mailing Address - State:NY
Mailing Address - Zip Code:14534-4566
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:125 SULLYS TRL STE 6A
Practice Address - Street 2:
Practice Address - City:PITTSFORD
Practice Address - State:NY
Practice Address - Zip Code:14534-4566
Practice Address - Country:US
Practice Address - Phone:585-329-8332
Practice Address - Fax:585-385-0570
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2010-05-03
Last Update Date:2010-05-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY003390171100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes171100000XOther Service ProvidersAcupuncturistGroup - Single Specialty