Provider Demographics
NPI:1427395839
Name:ACUPUNCTURE HEALTHCARE PLAZA II, PC
Entity Type:Organization
Organization Name:ACUPUNCTURE HEALTHCARE PLAZA II, PC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:STEVEN
Authorized Official - Middle Name:
Authorized Official - Last Name:WOLFSON
Authorized Official - Suffix:
Authorized Official - Credentials:LAC
Authorized Official - Phone:718-312-9527
Mailing Address - Street 1:1728 EAST 19TH STREET
Mailing Address - Street 2:UNIT B4
Mailing Address - City:BROOKLYN
Mailing Address - State:NY
Mailing Address - Zip Code:11229
Mailing Address - Country:US
Mailing Address - Phone:718-312-9527
Mailing Address - Fax:347-275-1466
Practice Address - Street 1:1728 E 19TH ST
Practice Address - Street 2:UNIT B4
Practice Address - City:BROOKLYN
Practice Address - State:NY
Practice Address - Zip Code:11229-2223
Practice Address - Country:US
Practice Address - Phone:718-312-9527
Practice Address - Fax:347-275-1466
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2013-01-07
Last Update Date:2013-01-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ25MZ00037100171100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes171100000XOther Service ProvidersAcupuncturistGroup - Single Specialty