Provider Demographics
NPI:1629772066
Name:OPEN CARE ACUPUNCTURE
Entity Type:Organization
Organization Name:OPEN CARE ACUPUNCTURE
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER, ACUPUNCTURIST
Authorized Official - Prefix:MS
Authorized Official - First Name:ALICE
Authorized Official - Middle Name:FORBES
Authorized Official - Last Name:SPEAR
Authorized Official - Suffix:
Authorized Official - Credentials:LAC
Authorized Official - Phone:917-426-1138
Mailing Address - Street 1:44 COURT ST STE 1000
Mailing Address - Street 2:
Mailing Address - City:BROOKLYN
Mailing Address - State:NY
Mailing Address - Zip Code:11201-4405
Mailing Address - Country:US
Mailing Address - Phone:917-426-1138
Mailing Address - Fax:
Practice Address - Street 1:44 COURT ST STE 1000
Practice Address - Street 2:
Practice Address - City:BROOKLYN
Practice Address - State:NY
Practice Address - Zip Code:11201-4405
Practice Address - Country:US
Practice Address - Phone:917-426-1138
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2023-03-29
Last Update Date:2023-03-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes171100000XOther Service ProvidersAcupuncturistGroup - Single Specialty