Provider Demographics
NPI:1881274389
Name:ORI ACUPUNCTURE, PC
Entity type:Organization
Organization Name:ORI ACUPUNCTURE, PC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRACTICE MANAGER
Authorized Official - Prefix:
Authorized Official - First Name:ANUTA
Authorized Official - Middle Name:
Authorized Official - Last Name:RATHE
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:212-379-6414
Mailing Address - Street 1:65 BROADWAY STE 902
Mailing Address - Street 2:
Mailing Address - City:NEW YORK
Mailing Address - State:NY
Mailing Address - Zip Code:10006-2528
Mailing Address - Country:US
Mailing Address - Phone:212-379-6414
Mailing Address - Fax:
Practice Address - Street 1:65 BROADWAY STE 902
Practice Address - Street 2:
Practice Address - City:NEW YORK
Practice Address - State:NY
Practice Address - Zip Code:10006-2528
Practice Address - Country:US
Practice Address - Phone:212-379-6414
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2021-04-09
Last Update Date:2021-04-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes171100000XOther Service ProvidersAcupuncturistGroup - Single Specialty