Provider Demographics
NPI:1851840136
Name:ACUPUNCTURE SERVICES OF NY & NJ
Entity Type:Organization
Organization Name:ACUPUNCTURE SERVICES OF NY & NJ
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:ANDREW
Authorized Official - Middle Name:
Authorized Official - Last Name:DUBYNA
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:201-341-6444
Mailing Address - Street 1:199 PERSHING RD
Mailing Address - Street 2:
Mailing Address - City:CLIFTON
Mailing Address - State:NJ
Mailing Address - Zip Code:07013-3458
Mailing Address - Country:US
Mailing Address - Phone:201-341-6444
Mailing Address - Fax:
Practice Address - Street 1:199 PERSHING RD
Practice Address - Street 2:
Practice Address - City:CLIFTON
Practice Address - State:NJ
Practice Address - Zip Code:07013-3458
Practice Address - Country:US
Practice Address - Phone:201-341-6444
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2016-09-27
Last Update Date:2016-09-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ25MZ00106100171100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes171100000XOther Service ProvidersAcupuncturistGroup - Single Specialty