Active NPIIndividual providerSole proprietor

Misty Kammarada, LAC, MSTOM

Acupuncturist in Brooklyn, New York

NPI Number1154619799
Practice location
581 5TH Ave, Suite 1, Brooklyn, NY 11215-8407
Fax
—
Last updated
July 18, 2011

Misty Kammarada is an Acupuncturist based in Brooklyn, NY. Misty Kammarada practices in Brooklyn, NY and has the professional credentials of LAC, MSTOM. The NPI Number for Misty Kammarada is 1154619799 and holds a License No. 004629 (NY). The current practice location address for Misty Kammarada is 581 5TH Ave, Suite 1, Brooklyn, NY 11215-8407 and can be reached out via phone at 718-965-0555.

Provider Profile Details

NPI Number
1154619799
Provider Name
Misty Kammarada
Credential
LAC, MSTOM
Provider Entity Type
Individual
Gender
Female
Address
581 5TH Ave, Suite 1, Brooklyn, NY 11215-8407
Phone Number
718-965-0555
Primary Taxonomy
Acupuncturist · 171100000X
Sole Proprietor
Yes
Provider Enumeration Date
July 18, 2011
Last Update Date
July 18, 2011
NPI Status
Active

Provider Business Practice Location Address Details

Address
581 5TH Ave
Suite 1
Brooklyn, NY 11215-8407
Zip
11215-8407
Phone Number
718-965-0555
Brooklyn, NY 11215Get directions →

Provider Business Mailing Address Details

Address
29 N Lakeside Ave
Jackson, NJ 08527-2747
City
Jackson
State
NJ
Zip
08527-2747
Phone Number
732-859-6957

License Information

License Number
004629
License State
NY
Taxonomy
Acupuncturist · 171100000X · Primary

Legacy Identifiers

IdentifierTypeStateIssuer
No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider.

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Frequently Asked Questions

What is the NPI number of Misty Kammarada, LAC, MSTOM?

The NPI number of Misty Kammarada, LAC, MSTOM is 1154619799. It was assigned on July 18, 2011 and is currently active in the NPPES registry.

What is the specialty of Misty Kammarada, LAC, MSTOM?

Misty Kammarada, LAC, MSTOM is registered under the primary taxonomy Acupuncturist (code 171100000X), licensed in NY under license number 004629.

Where does Misty Kammarada, LAC, MSTOM practice?

The practice location is 581 5TH Ave, Suite 1, Brooklyn, NY 11215-8407. The office can be reached at 718-965-0555 (phone).

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.

How do I verify this NPI record?

This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1154619799 directly on the NPPES registry website.

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