Provider Demographics
NPI:1306651211
Name:STRUCTURE ACUPUNCTURE PLLC
Entity type:Organization
Organization Name:STRUCTURE ACUPUNCTURE PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:DESIREE
Authorized Official - Middle Name:
Authorized Official - Last Name:SALE
Authorized Official - Suffix:
Authorized Official - Credentials:LAC
Authorized Official - Phone:585-542-9239
Mailing Address - Street 1:16 N GOODMAN ST STE 227
Mailing Address - Street 2:
Mailing Address - City:ROCHESTER
Mailing Address - State:NY
Mailing Address - Zip Code:14607-1554
Mailing Address - Country:US
Mailing Address - Phone:585-542-9239
Mailing Address - Fax:585-440-6623
Practice Address - Street 1:16 N GOODMAN ST STE 227
Practice Address - Street 2:
Practice Address - City:ROCHESTER
Practice Address - State:NY
Practice Address - Zip Code:14607-1554
Practice Address - Country:US
Practice Address - Phone:585-542-9239
Practice Address - Fax:585-440-6623
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2025-02-08
Last Update Date:2025-02-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes171100000XOther Service ProvidersAcupuncturistGroup - Single Specialty