Provider Demographics
NPI:1902103229
Name:CONSCIOUS HEALTH AND WELLNESS INC.
Entity type:Organization
Organization Name:CONSCIOUS HEALTH AND WELLNESS INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER, LICENCED ACUPUNCTURIST
Authorized Official - Prefix:
Authorized Official - First Name:MIRIAM
Authorized Official - Middle Name:
Authorized Official - Last Name:PINELES
Authorized Official - Suffix:
Authorized Official - Credentials:LAC
Authorized Official - Phone:516-317-2539
Mailing Address - Street 1:13745 70TH RD
Mailing Address - Street 2:APT. 2
Mailing Address - City:FLUSHING
Mailing Address - State:NY
Mailing Address - Zip Code:11367-1929
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:105 W 55TH ST
Practice Address - Street 2:SUITE LF
Practice Address - City:NEW YORK
Practice Address - State:NY
Practice Address - Zip Code:10019-5303
Practice Address - Country:US
Practice Address - Phone:516-317-2539
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2011-02-23
Last Update Date:2011-02-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY4182171100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes171100000XOther Service ProvidersAcupuncturistGroup - Single Specialty