Provider Demographics
NPI:1487248647
Name:HEALING ACUPUNCTURE ARTS, PC
Entity type:Organization
Organization Name:HEALING ACUPUNCTURE ARTS, PC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:LICENSED ACUPUNCTURIST
Authorized Official - Prefix:
Authorized Official - First Name:GRIGORIY
Authorized Official - Middle Name:
Authorized Official - Last Name:GLEYZER
Authorized Official - Suffix:
Authorized Official - Credentials:LAC
Authorized Official - Phone:646-402-1792
Mailing Address - Street 1:155 OCEANA DR E APT 4G
Mailing Address - Street 2:
Mailing Address - City:BROOKLYN
Mailing Address - State:NY
Mailing Address - Zip Code:11235-6685
Mailing Address - Country:US
Mailing Address - Phone:646-402-1792
Mailing Address - Fax:
Practice Address - Street 1:185 CENTRAL AVE STE 311
Practice Address - Street 2:
Practice Address - City:EAST ORANGE
Practice Address - State:NJ
Practice Address - Zip Code:07018-3318
Practice Address - Country:US
Practice Address - Phone:646-402-1792
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2021-02-26
Last Update Date:2021-02-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261Q00000XAmbulatory Health Care FacilitiesClinic/Center