Provider Demographics
NPI:1457119869
Name:CHRISTINA LEVI ACUPUNCTURIST PLLC
Entity Type:Organization
Organization Name:CHRISTINA LEVI ACUPUNCTURIST PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:CHRISTINA
Authorized Official - Middle Name:
Authorized Official - Last Name:LEVI
Authorized Official - Suffix:
Authorized Official - Credentials:LAC, LMT, CLT
Authorized Official - Phone:631-926-6356
Mailing Address - Street 1:34 SYCAMORE AVE
Mailing Address - Street 2:
Mailing Address - City:LAKE GROVE
Mailing Address - State:NY
Mailing Address - Zip Code:11755-2733
Mailing Address - Country:US
Mailing Address - Phone:631-926-6356
Mailing Address - Fax:
Practice Address - Street 1:34 SYCAMORE AVE
Practice Address - Street 2:
Practice Address - City:LAKE GROVE
Practice Address - State:NY
Practice Address - Zip Code:11755-2733
Practice Address - Country:US
Practice Address - Phone:631-926-6356
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-03-11
Last Update Date:2024-03-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QH0100XAmbulatory Health Care FacilitiesClinic/CenterHealth Service