Provider Demographics
NPI:1134366636
Name:P.HAIGNEY,L. AC.
Entity type:Organization
Organization Name:P.HAIGNEY,L. AC.
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:ACUPUNCTURIST
Authorized Official - Prefix:
Authorized Official - First Name:PETER
Authorized Official - Middle Name:J
Authorized Official - Last Name:HAIGNEY
Authorized Official - Suffix:
Authorized Official - Credentials:LAC
Authorized Official - Phone:973-271-3244
Mailing Address - Street 1:70 PARK ST
Mailing Address - Street 2:
Mailing Address - City:MONTCLAIR
Mailing Address - State:NJ
Mailing Address - Zip Code:07042-5907
Mailing Address - Country:US
Mailing Address - Phone:973-746-7766
Mailing Address - Fax:973-746-7766
Practice Address - Street 1:70 PARK ST
Practice Address - Street 2:
Practice Address - City:MONTCLAIR
Practice Address - State:NJ
Practice Address - Zip Code:07042-5907
Practice Address - Country:US
Practice Address - Phone:973-746-7766
Practice Address - Fax:973-746-7766
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:DR. PETER HAIGNEY
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2009-01-21
Last Update Date:2009-01-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ25MZN00064100171100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes171100000XOther Service ProvidersAcupuncturistGroup - Single Specialty