Provider Demographics
NPI:1952547556
Name:ALQUIMIA - ACUPUNCTURE & MASSAGE THERAPY, PLLC
Entity Type:Organization
Organization Name:ALQUIMIA - ACUPUNCTURE & MASSAGE THERAPY, PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:MONTSERRAT
Authorized Official - Middle Name:
Authorized Official - Last Name:MARKOU
Authorized Official - Suffix:
Authorized Official - Credentials:LAC, LMT
Authorized Official - Phone:718-321-3251
Mailing Address - Street 1:1 HOLLOW LN
Mailing Address - Street 2:SUITE 304
Mailing Address - City:NEW HYDE PARK
Mailing Address - State:NY
Mailing Address - Zip Code:11042-1215
Mailing Address - Country:US
Mailing Address - Phone:718-321-3251
Mailing Address - Fax:718-321-3251
Practice Address - Street 1:1 HOLLOW LN
Practice Address - Street 2:SUITE 304
Practice Address - City:NEW HYDE PARK
Practice Address - State:NY
Practice Address - Zip Code:11042-1215
Practice Address - Country:US
Practice Address - Phone:718-321-3251
Practice Address - Fax:718-321-3251
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2009-01-02
Last Update Date:2009-01-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY25003479171100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes171100000XOther Service ProvidersAcupuncturistGroup - Single Specialty