Provider Demographics
NPI:1548603111
Name:SLOPE WELLNESS ACUPUNCTURE, PLLC
Entity Type:Organization
Organization Name:SLOPE WELLNESS ACUPUNCTURE, PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER/ACUPUNCTURIST
Authorized Official - Prefix:MR
Authorized Official - First Name:JEFFREY
Authorized Official - Middle Name:
Authorized Official - Last Name:WEIDMANN
Authorized Official - Suffix:
Authorized Official - Credentials:LAC
Authorized Official - Phone:718-415-0738
Mailing Address - Street 1:816 8TH AVE
Mailing Address - Street 2:OFFICE
Mailing Address - City:BROOKLYN
Mailing Address - State:NY
Mailing Address - Zip Code:11215-4192
Mailing Address - Country:US
Mailing Address - Phone:718-415-0738
Mailing Address - Fax:
Practice Address - Street 1:816 8TH AVE
Practice Address - Street 2:OFFICE
Practice Address - City:BROOKLYN
Practice Address - State:NY
Practice Address - Zip Code:11215-4192
Practice Address - Country:US
Practice Address - Phone:718-415-0738
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2013-04-12
Last Update Date:2013-04-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY1720261Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261Q00000XAmbulatory Health Care FacilitiesClinic/Center