1851831457 NPI number — ODED SCHNEIDERMAN ACUPUNCTURE

Table of content: (NPI 1851831457)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1851831457 NPI number — ODED SCHNEIDERMAN ACUPUNCTURE

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
ODED SCHNEIDERMAN ACUPUNCTURE
Provider Last Name:
Provider First Name:
Provider Middle Name:
Provider Name Prefix Text:
Provider Name Suffix Text:
Provider Credential Text:
Provider Gender Code:

Provider's Other Name Information

Provider Other Organization Name:
Provider Other Organization Name Type Code:
Provider Other Last Name:
Provider Other First Name:
Provider Other Middle Name:
Provider Other Name Prefix Text:
Provider Other Name Suffix Text:
Provider Other Credential Text:
Provider Other Last Name Type Code:

NPI Number Information

NPI Number:
1851831457
Entity Type Code:
Organization
Replacement NPI:
Last Update Date:
03/01/2017
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
6653 WOODLAKE RD
Provider Second Line Business Mailing Address:
Provider Business Mailing Address City Name:
JUPITER
Provider Business Mailing Address State Name:
FL
Provider Business Mailing Address Postal Code:
33458-2448
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
646-784-0160
Provider Business Mailing Address Fax Number:
754-484-3919

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
1801 NE 123RD ST
Provider Second Line Business Practice Location Address:
3RD FLOOR, SUITE 314
Provider Business Practice Location Address City Name:
NORTH MIAMI
Provider Business Practice Location Address State Name:
FL
Provider Business Practice Location Address Postal Code:
33181-2817
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
646-784-0160
Provider Business Practice Location Address Fax Number:
754-484-3919
Provider Enumeration Date:
03/01/2017

Additional Information

			
		

Authorized Official

Authorized Official Last Name:
SCHNEIDERMAN
Authorized Official First Name:
ODED
Authorized Official Middle Name:
IZAAC
Authorized Official Title or Position:
OWNER OF PRACTICE
Authorized Official Telephone Number:
646-784-0160

Provider Taxonomy Codes

  • Taxonomy code: 171100000X , with the licence number:  AP3121 , registered in the state of FL ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .
  • Taxonomy code: 207R00000X , with the licence number: ME110505 , registered in the state of FL ; information, associated with the NPI states the following Primary Taxonomy Switch: "N" .

Other Provider's Identifiers (legacy, non-NPI)