Provider Demographics
NPI:1902265325
Name:TURTLE BAY ACUPUNCTURE
Entity type:Organization
Organization Name:TURTLE BAY ACUPUNCTURE
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:ACUPUNCTURIST
Authorized Official - Prefix:MS
Authorized Official - First Name:SUZANNE
Authorized Official - Middle Name:MICHELLE
Authorized Official - Last Name:HILL
Authorized Official - Suffix:
Authorized Official - Credentials:LAC
Authorized Official - Phone:212-557-6216
Mailing Address - Street 1:333 E 46TH ST
Mailing Address - Street 2:#1J
Mailing Address - City:NEW YORK
Mailing Address - State:NY
Mailing Address - Zip Code:10017-6426
Mailing Address - Country:US
Mailing Address - Phone:212-557-2616
Mailing Address - Fax:
Practice Address - Street 1:333 E 46TH ST
Practice Address - Street 2:#1J
Practice Address - City:NEW YORK
Practice Address - State:NY
Practice Address - Zip Code:10017-7401
Practice Address - Country:US
Practice Address - Phone:212-557-2616
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2016-02-12
Last Update Date:2016-02-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY001236261Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261Q00000XAmbulatory Health Care FacilitiesClinic/Center