Provider Demographics
NPI:1922142553
Name:NORTHVALE APUNCTURE & CHIROPRACTIC, LLC
Entity Type:Organization
Organization Name:NORTHVALE APUNCTURE & CHIROPRACTIC, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DIRECTOR
Authorized Official - Prefix:DR
Authorized Official - First Name:AILI
Authorized Official - Middle Name:
Authorized Official - Last Name:ZHU
Authorized Official - Suffix:
Authorized Official - Credentials:DC, CA
Authorized Official - Phone:201-768-8840
Mailing Address - Street 1:160 PARIS AVE
Mailing Address - Street 2:SUITE 5
Mailing Address - City:NORTHVALE
Mailing Address - State:NJ
Mailing Address - Zip Code:07647-2042
Mailing Address - Country:US
Mailing Address - Phone:201-768-8840
Mailing Address - Fax:201-768-8810
Practice Address - Street 1:160 PARIS AVE
Practice Address - Street 2:SUITE 5
Practice Address - City:NORTHVALE
Practice Address - State:NJ
Practice Address - Zip Code:07647-2042
Practice Address - Country:US
Practice Address - Phone:201-768-8840
Practice Address - Fax:201-768-8810
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-02-16
Last Update Date:2009-03-31
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ38MC00580000111N00000X
NJ25MZ00040400171100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes171100000XOther Service ProvidersAcupuncturistGroup - Multi-Specialty
No111N00000XChiropractic ProvidersChiropractorGroup - Multi-Specialty