Provider Demographics
NPI:1437625407
Name:WORLD ACUPUNCTURE
Entity Type:Organization
Organization Name:WORLD ACUPUNCTURE
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:ANDREA
Authorized Official - Middle Name:
Authorized Official - Last Name:GURCIULLO
Authorized Official - Suffix:
Authorized Official - Credentials:LAC
Authorized Official - Phone:516-425-4575
Mailing Address - Street 1:51 WINTERBERRY CIR
Mailing Address - Street 2:
Mailing Address - City:CROSS RIVER
Mailing Address - State:NY
Mailing Address - Zip Code:10518-1310
Mailing Address - Country:US
Mailing Address - Phone:516-425-4575
Mailing Address - Fax:
Practice Address - Street 1:130 BUSINESS PARK DR
Practice Address - Street 2:
Practice Address - City:ARMONK
Practice Address - State:NY
Practice Address - Zip Code:10504-1727
Practice Address - Country:US
Practice Address - Phone:516-425-4575
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2018-10-17
Last Update Date:2018-10-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes171100000XOther Service ProvidersAcupuncturistGroup - Multi-Specialty