Organization Name: | MCIVER ACUPUNCTURE |
NPI Number: | 1124428941 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | DOUGLAS STUART MCIVER (ACUPUNCTURIST) |
Mailing Address: | 109 Lake Ave Hilton |
State: | NY US |
Postal Code: | 144681198 |
Phone Number: | 5856904224 |
Fax Number: | |
NPI Enumeration Date: | 08/28/2014 |
NPI Last Update Date: | 08/28/2014 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 251V00000X |
License Number: | 004910 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | NY |
Taxonomy Type: | Agencies |
Taxonomy Classification: | Voluntary or Charitable |
Taxonomy Specialization: | |
Taxonomy Definition: |