Provider Demographics
NPI:1740094176
Name:REDDY FOR BALANCE ACUPUNCTURE PLLC
Entity type:Organization
Organization Name:REDDY FOR BALANCE ACUPUNCTURE PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:ACUPUNCTURIST
Authorized Official - Prefix:
Authorized Official - First Name:PATRICIA
Authorized Official - Middle Name:CECILIA
Authorized Official - Last Name:REDDY
Authorized Official - Suffix:
Authorized Official - Credentials:LAC
Authorized Official - Phone:631-219-5369
Mailing Address - Street 1:41 SAXON AVE
Mailing Address - Street 2:
Mailing Address - City:BAY SHORE
Mailing Address - State:NY
Mailing Address - Zip Code:11706-7009
Mailing Address - Country:US
Mailing Address - Phone:631-219-5369
Mailing Address - Fax:
Practice Address - Street 1:41 SAXON AVE
Practice Address - Street 2:
Practice Address - City:BAY SHORE
Practice Address - State:NY
Practice Address - Zip Code:11706-7009
Practice Address - Country:US
Practice Address - Phone:631-219-5369
Practice Address - Fax:631-212-8444
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2025-02-05
Last Update Date:2025-02-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes171100000XOther Service ProvidersAcupuncturistGroup - Single Specialty