Provider Demographics
NPI:1174747646
Name:MELANIE W. SHIH OMD, L.AC
Entity type:Organization
Organization Name:MELANIE W. SHIH OMD, L.AC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:ACUPUNCTURIST
Authorized Official - Prefix:
Authorized Official - First Name:MELANIE
Authorized Official - Middle Name:W
Authorized Official - Last Name:SHIH
Authorized Official - Suffix:
Authorized Official - Credentials:OMD
Authorized Official - Phone:845-338-6045
Mailing Address - Street 1:266 SMITH AVE
Mailing Address - Street 2:
Mailing Address - City:KINGSTON
Mailing Address - State:NY
Mailing Address - Zip Code:12401-3428
Mailing Address - Country:US
Mailing Address - Phone:845-338-6045
Mailing Address - Fax:
Practice Address - Street 1:266 SMITH AVE
Practice Address - Street 2:
Practice Address - City:KINGSTON
Practice Address - State:NY
Practice Address - Zip Code:12401-3428
Practice Address - Country:US
Practice Address - Phone:845-338-6045
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-04-13
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes171100000XOther Service ProvidersAcupuncturistGroup - Single Specialty