1033582408 NPI number — NATUROPUNC ACUPUNCTURE P.C.

Table of content: MR. RANDALL LEO ASUNTO PHARMACIST (NPI 1518985480)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1033582408 NPI number — NATUROPUNC ACUPUNCTURE P.C.

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
NATUROPUNC ACUPUNCTURE P.C.
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:
1033582408
Entity Type Code:
Organization
Replacement NPI:
Last Update Date:
11/07/2015
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
108 W 15TH ST
Provider Second Line Business Mailing Address:
STE. 5B
Provider Business Mailing Address City Name:
NEW YORK
Provider Business Mailing Address State Name:
NY
Provider Business Mailing Address Postal Code:
10011-6754
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
917-721-7386
Provider Business Mailing Address Fax Number:

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
108 W 15TH ST
Provider Second Line Business Practice Location Address:
STE. 5B
Provider Business Practice Location Address City Name:
NEW YORK
Provider Business Practice Location Address State Name:
NY
Provider Business Practice Location Address Postal Code:
10011-6754
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
917-721-7386
Provider Business Practice Location Address Fax Number:
Provider Enumeration Date:
11/07/2015

Additional Information

Authorized Official

Authorized Official Last Name:
MARIGLIA
Authorized Official First Name:
FRANCESCO
Authorized Official Middle Name:
GIOVANNI
Authorized Official Title or Position:
OWNER/ACUPUNCTURIST
Authorized Official Telephone Number:
917-721-7386

Provider Taxonomy Codes

  • Taxonomy code: 171100000X , with the licence number:  005556 , registered in the state of NY ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

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

  • Identifier: 005556 . This is a "NYS LICENSE NUMBER" identifier , issued by the state of ( NY ) . This identifiers is of the category "OTHER".




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