Provider Demographics
NPI:1558125112
Name:LUMENISACUPUNCTURE PC
Entity Type:Organization
Organization Name:LUMENISACUPUNCTURE PC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:MARIA
Authorized Official - Middle Name:A
Authorized Official - Last Name:HURTADO
Authorized Official - Suffix:
Authorized Official - Credentials:DACM
Authorized Official - Phone:917-557-6257
Mailing Address - Street 1:165 E 32ND ST APT 17G
Mailing Address - Street 2:
Mailing Address - City:NEW YORK
Mailing Address - State:NY
Mailing Address - Zip Code:10016-6008
Mailing Address - Country:US
Mailing Address - Phone:917-557-6257
Mailing Address - Fax:
Practice Address - Street 1:45 BERRY HILL RD
Practice Address - Street 2:
Practice Address - City:SYOSSET
Practice Address - State:NY
Practice Address - Zip Code:11791-2624
Practice Address - Country:US
Practice Address - Phone:516-921-3566
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-02-13
Last Update Date:2024-02-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261Q00000XAmbulatory Health Care FacilitiesClinic/Center