Provider Demographics
NPI:1942518204
Name:ACUPUNCTURE NORTHERN WESTCHESTER PLLC
Entity Type:Organization
Organization Name:ACUPUNCTURE NORTHERN WESTCHESTER PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:MR
Authorized Official - First Name:EUGENIO
Authorized Official - Middle Name:
Authorized Official - Last Name:JIMENEZ DE CASTRO
Authorized Official - Suffix:
Authorized Official - Credentials:LAC, SA
Authorized Official - Phone:914-244-4410
Mailing Address - Street 1:83 S BEDFORD RD
Mailing Address - Street 2:
Mailing Address - City:MOUNT KISCO
Mailing Address - State:NY
Mailing Address - Zip Code:10549-3429
Mailing Address - Country:US
Mailing Address - Phone:914-244-4410
Mailing Address - Fax:
Practice Address - Street 1:83 S BEDFORD RD
Practice Address - Street 2:
Practice Address - City:MOUNT KISCO
Practice Address - State:NY
Practice Address - Zip Code:10549-3429
Practice Address - Country:US
Practice Address - Phone:914-244-4410
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2010-09-21
Last Update Date:2010-09-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY0043601171100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes171100000XOther Service ProvidersAcupuncturistGroup - Single Specialty