Provider Demographics
NPI:1023225570
Name:RELIEF ACUPUNCTURE
Entity type:Organization
Organization Name:RELIEF ACUPUNCTURE
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:ACUPUNCTURIST
Authorized Official - Prefix:
Authorized Official - First Name:MARINA
Authorized Official - Middle Name:
Authorized Official - Last Name:DOKTORMAN
Authorized Official - Suffix:
Authorized Official - Credentials:LAC
Authorized Official - Phone:973-778-0013
Mailing Address - Street 1:101 GAYLORD DR S
Mailing Address - Street 2:
Mailing Address - City:BROOKLYN
Mailing Address - State:NY
Mailing Address - Zip Code:11234-6924
Mailing Address - Country:US
Mailing Address - Phone:973-778-0013
Mailing Address - Fax:973-778-0924
Practice Address - Street 1:RELIEF ACUPUNCTURE
Practice Address - Street 2:101 GAYLORD DR S
Practice Address - City:BROOKLYN
Practice Address - State:NY
Practice Address - Zip Code:11234-6924
Practice Address - Country:US
Practice Address - Phone:973-778-0013
Practice Address - Fax:973-778-0924
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-05-16
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes171100000XOther Service ProvidersAcupuncturistGroup - Single Specialty