Provider Demographics
NPI:1629600101
Name:STIM ACUPUNCTURE AND PHYSICAL THERAPY PLLC
Entity Type:Organization
Organization Name:STIM ACUPUNCTURE AND PHYSICAL THERAPY PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:MANAGING PARTNER
Authorized Official - Prefix:
Authorized Official - First Name:BRIAN
Authorized Official - Middle Name:
Authorized Official - Last Name:NG
Authorized Official - Suffix:
Authorized Official - Credentials:LAC
Authorized Official - Phone:212-729-8565
Mailing Address - Street 1:139 FULTON STREET
Mailing Address - Street 2:RM 208
Mailing Address - City:NEW YORK
Mailing Address - State:NY
Mailing Address - Zip Code:10038-2538
Mailing Address - Country:US
Mailing Address - Phone:212-729-8565
Mailing Address - Fax:845-595-8220
Practice Address - Street 1:139 FULTON STREET
Practice Address - Street 2:RM 208
Practice Address - City:NEW YORK
Practice Address - State:NY
Practice Address - Zip Code:10038-2538
Practice Address - Country:US
Practice Address - Phone:212-729-8565
Practice Address - Fax:845-595-8220
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2020-02-12
Last Update Date:2022-06-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261Q00000XAmbulatory Health Care FacilitiesClinic/Center