Provider Demographics
NPI:1700454626
Name:JA ACUPUNCTURE NY PC
Entity Type:Organization
Organization Name:JA ACUPUNCTURE NY PC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:LICENSED ACUPUNCTURIST
Authorized Official - Prefix:MS
Authorized Official - First Name:JULIA
Authorized Official - Middle Name:
Authorized Official - Last Name:ALIKINA
Authorized Official - Suffix:
Authorized Official - Credentials:LAC
Authorized Official - Phone:347-325-1515
Mailing Address - Street 1:4207 ATLANTIC AVE STE 1A
Mailing Address - Street 2:
Mailing Address - City:BROOKLYN
Mailing Address - State:NY
Mailing Address - Zip Code:11224-1023
Mailing Address - Country:US
Mailing Address - Phone:347-325-1515
Mailing Address - Fax:718-333-5272
Practice Address - Street 1:2606 E 16TH ST
Practice Address - Street 2:
Practice Address - City:BROOKLYN
Practice Address - State:NY
Practice Address - Zip Code:11235-3806
Practice Address - Country:US
Practice Address - Phone:347-325-1515
Practice Address - Fax:718-333-5272
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2021-06-16
Last Update Date:2021-06-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes171100000XOther Service ProvidersAcupuncturistGroup - Single Specialty