Provider Demographics
NPI:1881067965
Name:PAZ ACUPUNCTURE
Entity type:Organization
Organization Name:PAZ ACUPUNCTURE
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:MS
Authorized Official - First Name:KERE
Authorized Official - Middle Name:
Authorized Official - Last Name:PAZ
Authorized Official - Suffix:
Authorized Official - Credentials:LAC
Authorized Official - Phone:914-299-7787
Mailing Address - Street 1:109 CROTON AVE
Mailing Address - Street 2:SUITE 205
Mailing Address - City:OSSINING
Mailing Address - State:NY
Mailing Address - Zip Code:10562-4219
Mailing Address - Country:US
Mailing Address - Phone:914-229-7787
Mailing Address - Fax:917-591-4521
Practice Address - Street 1:109 CROTON AVE
Practice Address - Street 2:SUITE 205
Practice Address - City:OSSINING
Practice Address - State:NY
Practice Address - Zip Code:10562-4219
Practice Address - Country:US
Practice Address - Phone:914-229-7787
Practice Address - Fax:917-591-4521
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2015-11-11
Last Update Date:2015-11-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY25004870171100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes171100000XOther Service ProvidersAcupuncturistGroup - Single Specialty