Provider Demographics
NPI:1750778064
Name:BARBER ACUPUNCTURE PLLC
Entity type:Organization
Organization Name:BARBER ACUPUNCTURE PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:MEMBER
Authorized Official - Prefix:MR
Authorized Official - First Name:JORDAN
Authorized Official - Middle Name:DANIEL
Authorized Official - Last Name:BARBER
Authorized Official - Suffix:
Authorized Official - Credentials:LAC
Authorized Official - Phone:631-849-6363
Mailing Address - Street 1:47 ROUTE 25A
Mailing Address - Street 2:
Mailing Address - City:ROCKY POINT
Mailing Address - State:NY
Mailing Address - Zip Code:11778-8846
Mailing Address - Country:US
Mailing Address - Phone:631-849-6363
Mailing Address - Fax:
Practice Address - Street 1:47 ROUTE 25A
Practice Address - Street 2:
Practice Address - City:ROCKY POINT
Practice Address - State:NY
Practice Address - Zip Code:11778-8846
Practice Address - Country:US
Practice Address - Phone:631-849-6363
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2015-04-24
Last Update Date:2015-04-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY18268225700000X
NY3667171100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes171100000XOther Service ProvidersAcupuncturistGroup - Multi-Specialty
No225700000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersMassage TherapistGroup - Multi-Specialty