Provider Demographics
NPI:1821261991
Name:KEMPISTY, PAUL (LAC)
Entity Type:Individual
Prefix:MR
First Name:PAUL
Middle Name:
Last Name:KEMPISTY
Suffix:
Gender:M
Credentials:LAC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:73 SPRING ST
Mailing Address - Street 2:SUITE 201
Mailing Address - City:NEW YORK
Mailing Address - State:NY
Mailing Address - Zip Code:10012-5800
Mailing Address - Country:US
Mailing Address - Phone:917-657-7246
Mailing Address - Fax:212-966-0626
Practice Address - Street 1:73 SPRING ST
Practice Address - Street 2:SUITE 201
Practice Address - City:NEW YORK
Practice Address - State:NY
Practice Address - Zip Code:10012-5800
Practice Address - Country:US
Practice Address - Phone:917-657-7246
Practice Address - Fax:212-966-0626
Is Sole Proprietor?:Yes
Enumeration Date:2008-04-09
Last Update Date:2008-04-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY002726171100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171100000XOther Service ProvidersAcupuncturist