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WOLF MOON INC NPI 1609270909


NPI Information

NPI: 1609270909
Provider Name: WOLF MOON INC
Classification: Acupuncturist - 171100000X
Entity Type: Organization
Address:
875 W JERICHO TPKE
SMITHTOWN, NY
ZIP 11787
Phone: (516) 581-7013
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WOLF MOON INC is an acupuncturist in Smithtown, NY. The provider is an acupuncturist is a person who performs ancient therapy for alleviation of pain, anesthesia and treatment of some diseases. Acupuncturists use long, fine needles inserted into specific points in order to treat painful conditions or produce anesthesia. WOLF MOON INC NPI is 1609270909. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

875 W JERICHO TPKE
SMITHTOWN, NY
ZIP 11787-229
Phone: (516) 581-7013

The provider's authorized official is Mary Schmaeling .
The authorized official title is Vice President and has the following contact phone number (516) 581-7013.

The enumeration date for this NPI number is 10/15/2014 and was last updated on 10/15/2014.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1171100000XAcupuncturist4901NEW YORKYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/14/2023

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