Provider Demographics
NPI:1457884850
Name:AMERICAN ACUPUNCTURE CLINIC
Entity Type:Organization
Organization Name:AMERICAN ACUPUNCTURE CLINIC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER/FOUNDER
Authorized Official - Prefix:MR
Authorized Official - First Name:PAUL
Authorized Official - Middle Name:ALEXANDER
Authorized Official - Last Name:ROONEY
Authorized Official - Suffix:
Authorized Official - Credentials:LAC
Authorized Official - Phone:585-720-0250
Mailing Address - Street 1:103 CANAL LANDING BLVD
Mailing Address - Street 2:STE.9
Mailing Address - City:ROCHESTER
Mailing Address - State:NY
Mailing Address - Zip Code:14626-5108
Mailing Address - Country:US
Mailing Address - Phone:585-720-0250
Mailing Address - Fax:585-720-0054
Practice Address - Street 1:103 CANAL LANDING BLVD
Practice Address - Street 2:STE.9
Practice Address - City:ROCHESTER
Practice Address - State:NY
Practice Address - Zip Code:14626-5108
Practice Address - Country:US
Practice Address - Phone:585-720-0250
Practice Address - Fax:585-720-0054
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2017-04-04
Last Update Date:2017-04-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY000847171100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes171100000XOther Service ProvidersAcupuncturistGroup - Single Specialty