Provider Demographics
NPI:1851831457
Name:ODED SCHNEIDERMAN ACUPUNCTURE
Entity Type:Organization
Organization Name:ODED SCHNEIDERMAN ACUPUNCTURE
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER OF PRACTICE
Authorized Official - Prefix:
Authorized Official - First Name:ODED
Authorized Official - Middle Name:IZAAC
Authorized Official - Last Name:SCHNEIDERMAN
Authorized Official - Suffix:
Authorized Official - Credentials:LAC
Authorized Official - Phone:646-784-0160
Mailing Address - Street 1:6653 WOODLAKE RD
Mailing Address - Street 2:
Mailing Address - City:JUPITER
Mailing Address - State:FL
Mailing Address - Zip Code:33458-2448
Mailing Address - Country:US
Mailing Address - Phone:646-784-0160
Mailing Address - Fax:754-484-3919
Practice Address - Street 1:1801 NE 123RD ST
Practice Address - Street 2:3RD FLOOR, SUITE 314
Practice Address - City:NORTH MIAMI
Practice Address - State:FL
Practice Address - Zip Code:33181-2817
Practice Address - Country:US
Practice Address - Phone:646-784-0160
Practice Address - Fax:754-484-3919
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2017-03-01
Last Update Date:2017-03-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLAP3121171100000X
FLME110505207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes171100000XOther Service ProvidersAcupuncturistGroup - Multi-Specialty
No207R00000XAllopathic & Osteopathic PhysiciansInternal MedicineGroup - Multi-Specialty