WELLSPRING OF LIFE ACUPUNCTURE, PC (NPI# 1376083774) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1376083774 |
| Entity Type | Organization |
| Organization Name | WELLSPRING OF LIFE ACUPUNCTURE, PC |
| Practice Address |
2171 Jericho Tpke Suite 135 Commack NY 11725-2937 |
| Mailing Address |
Po Box 2236 Aquebogue NY 11931-2236 |
| Practice Telephone | 6316706690 |
| Mailing Telephone | 6318960403 |
| Enumeration Date | 2017-03-03 |
| Last Update Date | 2017-03-03 |
| Authorized Official Name | MELISSA PETERS (OWNER, PRESIDENT) |
| Authorized Official Telephone | 6318960403 |
| Authorized Official Credential | L.AC. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 171100000X | Acupuncturist | 004487 | NY | Other Service Providers |
| Street Address |
2171 JERICHO TPKE SUITE 135 |
| City | COMMACK |
| State | NY |
| Zip Code | 11725-2937 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1184664641 | Ronkonkoma Medical Care, Pllc | Internal Medicine | 2171 Jericho Tpke, Suite 304, Commack, NY 11725-2915 | 2006-06-06 |
| 1821623786 | Emma Moosmueller | Counselor | 2171 Jericho Tpke, Commack, NY 11725-2937 | 2020-03-10 |
| 1548894389 | Jillian Thorsen | Counselor | 2171 Jericho Tpke, Commack, NY 11725-2937 | 2020-03-02 |
| 1609400571 | Alexandra Quinn | Social Worker | 2171 Jericho Tpke, Commack, NY 11725-2937 | 2020-02-28 |
| 1942834825 | Lauren Miceli Counseling, PC | Social Worker | 2171 Jericho Tpke, Commack, NY 11725-2937 | 2020-02-28 |
| 1659921682 | Elizabeth Jennifer Cohen | Social Worker | 2171 Jericho Tpke, Commack, NY 11725-2937 | 2019-09-11 |
| 1013439132 | Shea Alvarez-cussen | Psychologist | 2171 Jericho Tpke, Suite 345, Commack, NY 11725-1172 | 2017-07-11 |
| 1386170660 | Danyel Salpietro | Psychologist | 2171 Jericho Tpke, 345, Commack, NY 11725-2937 | 2017-05-05 |
| 1871027458 | Lisa Vecchione | Social Worker | 2171 Jericho Tpke, 150, Commack, NY 11725-2937 | 2017-04-20 |
| 1730633413 | James C Strickland Psychologist PC | Psychologist | 2171 Jericho Tpke, Suite 150, Commack, NY 11725-2937 | 2016-08-10 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1699322131 | Amanda Grace Acebedo | Student in an Organized Health Care Education/Training Program | 785 Larkfield Rd, Commack, NY 11725 | 2019-08-20 |
| 1922667716 | Diana Mcnamara | Social Worker | 13 Audrey Lane, Commack, NY 11725 | 2019-06-06 |
| 1821504333 | Amy Koenig | Specialist | 787 Larkfield Rd, Commack, NY 11725 | 2017-12-19 |
| 1437661501 | Commack Chemist Inc | Pharmacy | 6216 Jericho Turnpike, Commack, NY 11725 | 2017-10-30 |
| 1285168880 | Stephanie Arico | Counselor | 14 Silver Pond Cir, Commack, NY 11725 | 2017-04-20 |
| 1235684432 | Ams Primary Medical Care House Calls,pc | Home Health | 6277 Jericho Tpk, Commack, NY 11725 | 2016-08-18 |
| 1376927459 | Min Sun Park | Dentist | All About Smiles Pediatric Dentistry, 5036 Jericho Turnpike Suite #307, Commack, NY 11725 | 2015-07-17 |
| 1467843748 | Joanna Keegan | Pharmacy Technician | 98 Veterans Memorial Highway, Commack, NY 11725 | 2015-02-09 |
| 1275936841 | Jennie Bernstein | Social Worker | 368 Veterans Hwy Ste 2, Commack, NY 11725 | 2014-09-26 |
| 1417362021 | Diana Matira Yildirim | Pediatrics | 646 Commack Road, Commack, NY 11725 | 2014-06-23 |
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| Taxonomy Code | 171100000X |
| Grouping | Other Service Providers |
| Classification | Acupuncturist |
| 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. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1851726608 | Eunkyung Bae | Acupuncturist | 4 Humming Lane, Commack, NY 11725 | 2013-09-12 |
| 1982036653 | Yuliya Farakh | Acupuncturist | 2 Samara Ct, Commack, NY 11725-2535 | 2013-08-05 |
| 1275656019 | Advanced Acupuncture | Acupuncturist | 2070 Jericho Turnpike, Commack, NY 11725 | 2007-04-09 |
| 1144263906 | Alex Leyberman | Acupuncturist | 280 Burr Rd, Commack, NY 11725-1933 | 2006-06-13 |
| 1306318431 | Commack Acupuncture PC | Acupuncturist | 164 Commack Rd Ste 1, Commack, NY 11725-3430 | 2018-12-31 |
| 1548661770 | Michael L Miller | Acupuncturist | 66 Austin Blvd, Commack, NY 11725-5733 | 2014-09-08 |
| 1568876639 | Phoenix Rising Acupuncture | Acupuncturist | 149 Commack Rd, Commack, NY 11725-3459 | 2014-06-17 |
| 1366887739 | Sarah Yu | Acupuncturist | 6500 Jericho Tpke Ste 218, Suite218, Commack, NY 11725-2907 | 2013-04-30 |
| 1104127653 | Julie Beth Gorowitz | Acupuncturist | 66 Commack Rd, Suite 101, Commack, NY 11725-3405 | 2010-11-14 |
| 1689974487 | Melissa Peters | Acupuncturist | 2171 Jericho Tpke, Suite 335, Commack, NY 11725-2937 | 2010-10-26 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.