Provider Demographics
NPI:1629271275
Name:ACU. FEEL GOOD
Entity Type:Organization
Organization Name:ACU. FEEL GOOD
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:ACUPUNCTURIST
Authorized Official - Prefix:DR
Authorized Official - First Name:ILIANA
Authorized Official - Middle Name:
Authorized Official - Last Name:COBELETA-ZILAHI
Authorized Official - Suffix:
Authorized Official - Credentials:MD, MSTOM, LAC
Authorized Official - Phone:347-924-2269
Mailing Address - Street 1:3392 WAYNE AVE
Mailing Address - Street 2:APT F 32
Mailing Address - City:BRONX
Mailing Address - State:NY
Mailing Address - Zip Code:10467-2419
Mailing Address - Country:US
Mailing Address - Phone:718-652-1905
Mailing Address - Fax:718-652-1905
Practice Address - Street 1:4345 44TH ST
Practice Address - Street 2:
Practice Address - City:SUNNYSIDE
Practice Address - State:NY
Practice Address - Zip Code:11104-4607
Practice Address - Country:US
Practice Address - Phone:347-924-2269
Practice Address - Fax:718-652-1905
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-06-08
Last Update Date:2008-12-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY002727261Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261Q00000XAmbulatory Health Care FacilitiesClinic/Center