Provider Demographics
NPI:1811778418
Name:SPIRIT OF THE POINT , LLC
Entity type:Organization
Organization Name:SPIRIT OF THE POINT , LLC
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:ACUPUNCTURIST
Authorized Official - Prefix:
Authorized Official - First Name:ALI
Authorized Official - Middle Name:S
Authorized Official - Last Name:PODNEBESNYKH
Authorized Official - Suffix:
Authorized Official - Credentials:L ACC
Authorized Official - Phone:908-255-3484
Mailing Address - Street 1:366 STATE ROUTE 18, TRLR A-6
Mailing Address - Street 2:
Mailing Address - City:EAST BRUNSWICK, NJ 08816
Mailing Address - State:NJ
Mailing Address - Zip Code:08816
Mailing Address - Country:US
Mailing Address - Phone:908-255-3484
Mailing Address - Fax:
Practice Address - Street 1:15 WATER ST
Practice Address - Street 2:
Practice Address - City:ENGLISHTOWN
Practice Address - State:NJ
Practice Address - Zip Code:07726-1612
Practice Address - Country:US
Practice Address - Phone:908-255-3484
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2023-10-10
Last Update Date:2025-03-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes171100000XOther Service ProvidersAcupuncturistGroup - Single Specialty