Provider Demographics
NPI:1922423458
Name:INFINITY ACUPUNCTURE OF NEW JERSEY LLC
Entity Type:Organization
Organization Name:INFINITY ACUPUNCTURE OF NEW JERSEY LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:MANAGING MEMBER
Authorized Official - Prefix:
Authorized Official - First Name:HEATHER
Authorized Official - Middle Name:LYNNE
Authorized Official - Last Name:SAHOURY
Authorized Official - Suffix:
Authorized Official - Credentials:LAC
Authorized Official - Phone:201-956-2516
Mailing Address - Street 1:97 HIGHWOOD AVE
Mailing Address - Street 2:
Mailing Address - City:WALDWICK
Mailing Address - State:NJ
Mailing Address - Zip Code:07463-2119
Mailing Address - Country:US
Mailing Address - Phone:201-956-2516
Mailing Address - Fax:201-265-0853
Practice Address - Street 1:97 HIGHWOOD AVE
Practice Address - Street 2:
Practice Address - City:WALDWICK
Practice Address - State:NJ
Practice Address - Zip Code:07463-2119
Practice Address - Country:US
Practice Address - Phone:201-956-2516
Practice Address - Fax:201-265-0853
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2014-02-20
Last Update Date:2014-02-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes171100000XOther Service ProvidersAcupuncturistGroup - Single Specialty