Provider Demographics
NPI:1437764461
Name:HEALTHCARE WELLNESS ACUPUNCTURE P.C
Entity type:Organization
Organization Name:HEALTHCARE WELLNESS ACUPUNCTURE P.C
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER/ ACUPUNCTURIST
Authorized Official - Prefix:MR
Authorized Official - First Name:ANTHONY
Authorized Official - Middle Name:J
Authorized Official - Last Name:CERABINO
Authorized Official - Suffix:
Authorized Official - Credentials:BM,LMT,MS,LAC
Authorized Official - Phone:631-665-1666
Mailing Address - Street 1:85 W MAIN ST STE 302
Mailing Address - Street 2:
Mailing Address - City:BAY SHORE
Mailing Address - State:NY
Mailing Address - Zip Code:11706-8345
Mailing Address - Country:US
Mailing Address - Phone:631-665-1666
Mailing Address - Fax:631-665-1666
Practice Address - Street 1:85 W MAIN ST STE 302
Practice Address - Street 2:
Practice Address - City:BAY SHORE
Practice Address - State:NY
Practice Address - Zip Code:11706-8345
Practice Address - Country:US
Practice Address - Phone:631-665-1666
Practice Address - Fax:631-665-1666
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2020-09-15
Last Update Date:2020-09-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes171100000XOther Service ProvidersAcupuncturistGroup - Single Specialty