Provider Demographics
NPI:1427327808
Name:ELENA JENKINS ACUPUNCTURE PLLC
Entity type:Organization
Organization Name:ELENA JENKINS ACUPUNCTURE PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:MRS
Authorized Official - First Name:ELENA
Authorized Official - Middle Name:L
Authorized Official - Last Name:JENKINS
Authorized Official - Suffix:
Authorized Official - Credentials:LAC
Authorized Official - Phone:609-865-7976
Mailing Address - Street 1:3424 82ND ST
Mailing Address - Street 2:APT. 3K
Mailing Address - City:JACKSON HEIGHTS
Mailing Address - State:NY
Mailing Address - Zip Code:11372-2937
Mailing Address - Country:US
Mailing Address - Phone:609-865-7976
Mailing Address - Fax:
Practice Address - Street 1:3424 82ND ST
Practice Address - Street 2:APT. 3K
Practice Address - City:JACKSON HEIGHTS
Practice Address - State:NY
Practice Address - Zip Code:11372-2937
Practice Address - Country:US
Practice Address - Phone:609-865-7976
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2011-12-14
Last Update Date:2011-12-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY004707171100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes171100000XOther Service ProvidersAcupuncturistGroup - Single Specialty