Provider Demographics
NPI:1629379425
Name:ALBAN ACUPUNCTURE PC
Entity Type:Organization
Organization Name:ALBAN ACUPUNCTURE PC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:ACUPUNCTURIST/OWNER
Authorized Official - Prefix:MR
Authorized Official - First Name:JOSEPH
Authorized Official - Middle Name:P
Authorized Official - Last Name:ALBAN
Authorized Official - Suffix:
Authorized Official - Credentials:MS, LAC
Authorized Official - Phone:212-319-5757
Mailing Address - Street 1:124 E 40TH ST
Mailing Address - Street 2:SUITE 902
Mailing Address - City:NEW YORK
Mailing Address - State:NY
Mailing Address - Zip Code:10016-1723
Mailing Address - Country:US
Mailing Address - Phone:212-319-5757
Mailing Address - Fax:646-588-0283
Practice Address - Street 1:124 E 40TH ST
Practice Address - Street 2:SUITE 902
Practice Address - City:NEW YORK
Practice Address - State:NY
Practice Address - Zip Code:10016-1723
Practice Address - Country:US
Practice Address - Phone:212-319-5757
Practice Address - Fax:646-588-0283
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2010-11-10
Last Update Date:2015-10-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY003278171100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes171100000XOther Service ProvidersAcupuncturistGroup - Single Specialty