Provider Demographics
NPI:1578098059
Name:ALGUR, ECE (MD, LAC)
Entity Type:Individual
Prefix:
First Name:ECE
Middle Name:
Last Name:ALGUR
Suffix:
Gender:F
Credentials:MD, LAC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:12 HEMLOCK LN
Mailing Address - Street 2:
Mailing Address - City:SMITHTOWN
Mailing Address - State:NY
Mailing Address - Zip Code:11787-3740
Mailing Address - Country:US
Mailing Address - Phone:631-707-4792
Mailing Address - Fax:
Practice Address - Street 1:12 HEMLOCK LN
Practice Address - Street 2:
Practice Address - City:SMITHTOWN
Practice Address - State:NY
Practice Address - Zip Code:11787-3740
Practice Address - Country:US
Practice Address - Phone:631-707-4792
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2017-04-21
Last Update Date:2017-04-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY005648171100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171100000XOther Service ProvidersAcupuncturist