Provider Demographics
NPI:1538680665
Name:NEARPASS ACUPUNCTURE PLLC
Entity Type:Organization
Organization Name:NEARPASS ACUPUNCTURE PLLC
Other - Org Name:ROCHESTER FAMILY ACUPUNCTURE
Other - Org Type:Doing Business As
Authorized Official - Title/Position:OWNER / ACUPUNCTURIST
Authorized Official - Prefix:
Authorized Official - First Name:RENEE
Authorized Official - Middle Name:KATHLEEN
Authorized Official - Last Name:NEARPASS
Authorized Official - Suffix:
Authorized Official - Credentials:LAC MSAOM
Authorized Official - Phone:585-598-3866
Mailing Address - Street 1:6800 PITTSFORD PALMYRA RD STE 350
Mailing Address - Street 2:
Mailing Address - City:FAIRPORT
Mailing Address - State:NY
Mailing Address - Zip Code:14450-3503
Mailing Address - Country:US
Mailing Address - Phone:585-598-3866
Mailing Address - Fax:585-851-8673
Practice Address - Street 1:6800 PITTSFORD PALMYRA RD STE 350
Practice Address - Street 2:
Practice Address - City:FAIRPORT
Practice Address - State:NY
Practice Address - Zip Code:14450-3503
Practice Address - Country:US
Practice Address - Phone:585-598-3866
Practice Address - Fax:585-851-8673
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2017-06-28
Last Update Date:2022-07-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY005126171100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes171100000XOther Service ProvidersAcupuncturistGroup - Single Specialty