Provider Demographics
NPI:1497169742
Name:ATLANTIC-PACIFIC ACUPUNCTURE, P.C
Entity Type:Organization
Organization Name:ATLANTIC-PACIFIC ACUPUNCTURE, P.C
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:ACUPUNCTURIST
Authorized Official - Prefix:
Authorized Official - First Name:MARINA
Authorized Official - Middle Name:
Authorized Official - Last Name:SMIRNOVA
Authorized Official - Suffix:
Authorized Official - Credentials:MSAC
Authorized Official - Phone:718-838-0242
Mailing Address - Street 1:1815 E 17TH ST APT 3E
Mailing Address - Street 2:
Mailing Address - City:BROOKLYN
Mailing Address - State:NY
Mailing Address - Zip Code:11229-2999
Mailing Address - Country:US
Mailing Address - Phone:718-838-0242
Mailing Address - Fax:
Practice Address - Street 1:1115 OCEAN PKWY
Practice Address - Street 2:MEDICAL PLAZA, 1ST FLOOR
Practice Address - City:BROOKLYN
Practice Address - State:NY
Practice Address - Zip Code:11230-4073
Practice Address - Country:US
Practice Address - Phone:718-838-0242
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:ATLANTIC-PACIFIC ACUPUNCTURE,P.C.
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2014-06-15
Last Update Date:2014-06-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY003807261QM1300X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QM1300XAmbulatory Health Care FacilitiesClinic/CenterMulti-Specialty