Provider Demographics
NPI:1134579295
Name:TAO HEALING ARTS
Entity type:Organization
Organization Name:TAO HEALING ARTS
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:ACUPUNCTURIST
Authorized Official - Prefix:MR
Authorized Official - First Name:BRYAN
Authorized Official - Middle Name:LEONARD
Authorized Official - Last Name:ISACKS
Authorized Official - Suffix:JR
Authorized Official - Credentials:MS, LAC
Authorized Official - Phone:607-387-4577
Mailing Address - Street 1:1859 TRUMANSBURG RD
Mailing Address - Street 2:
Mailing Address - City:TRUMANSBURG
Mailing Address - State:NY
Mailing Address - Zip Code:14886-8915
Mailing Address - Country:US
Mailing Address - Phone:607-387-4577
Mailing Address - Fax:607-697-2603
Practice Address - Street 1:1859 TRUMANSBURG RD
Practice Address - Street 2:
Practice Address - City:TRUMANSBURG
Practice Address - State:NY
Practice Address - Zip Code:14886-8915
Practice Address - Country:US
Practice Address - Phone:607-387-4577
Practice Address - Fax:607-697-2603
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2016-06-20
Last Update Date:2016-06-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY003645171100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes171100000XOther Service ProvidersAcupuncturistGroup - Multi-Specialty