Provider Demographics
NPI:1285417998
Name:A VAMOS ACUPUNCTURE PLLC
Entity type:Organization
Organization Name:A VAMOS ACUPUNCTURE PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:ALEXANDER
Authorized Official - Middle Name:
Authorized Official - Last Name:VAMOS
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:631-819-5838
Mailing Address - Street 1:408 FORT SALONGA RD
Mailing Address - Street 2:
Mailing Address - City:NORTHPORT
Mailing Address - State:NY
Mailing Address - Zip Code:11768-3075
Mailing Address - Country:US
Mailing Address - Phone:631-819-5838
Mailing Address - Fax:
Practice Address - Street 1:408 FORT SALONGA RD
Practice Address - Street 2:
Practice Address - City:NORTHPORT
Practice Address - State:NY
Practice Address - Zip Code:11768-3075
Practice Address - Country:US
Practice Address - Phone:631-819-5838
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2023-08-16
Last Update Date:2023-08-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes171100000XOther Service ProvidersAcupuncturistGroup - Single Specialty