Provider Demographics
NPI:1952170110
Name:NADIS ACUPUNCTURE PLLC
Entity Type:Organization
Organization Name:NADIS ACUPUNCTURE PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:
Authorized Official - First Name:NYDIA
Authorized Official - Middle Name:
Authorized Official - Last Name:DIXON
Authorized Official - Suffix:
Authorized Official - Credentials:DAC LAC
Authorized Official - Phone:808-520-7053
Mailing Address - Street 1:555 10TH AVE APT 24N
Mailing Address - Street 2:
Mailing Address - City:NEW YORK
Mailing Address - State:NY
Mailing Address - Zip Code:10018-0231
Mailing Address - Country:US
Mailing Address - Phone:808-520-7063
Mailing Address - Fax:
Practice Address - Street 1:314 HEMPSTEAD AVE STE 1
Practice Address - Street 2:
Practice Address - City:WEST HEMPSTEAD
Practice Address - State:NY
Practice Address - Zip Code:11552-2054
Practice Address - Country:US
Practice Address - Phone:516-968-1700
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2023-12-28
Last Update Date:2023-12-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes171100000XOther Service ProvidersAcupuncturistGroup - Single Specialty