Active NPIIndividual providerSole proprietor

Longfellow Song, L AC

Acupuncturist in Palisades Park, New Jersey

NPI Number1407319247
Practice location
232 Broad Ave Ste 208, Palisades Park, NJ 07650-1565
Fax
—
Last updated
April 9, 2019

Longfellow Song is an Acupuncturist based in Palisades Park, NJ. Longfellow Song practices in Palisades Park, NJ and has the professional credentials of L AC. The NPI Number for Longfellow Song is 1407319247 and holds a License No. 25MZ00075100 (NJ). The current practice location address for Longfellow Song is 232 Broad Ave Ste 208, Palisades Park, NJ 07650-1565 and can be reached out via phone at 201-944-2558.

Provider Profile Details

NPI Number
1407319247
Provider Name
Longfellow Song
Credential
L AC
Provider Entity Type
Individual
Gender
Male
Address
232 Broad Ave Ste 208, Palisades Park, NJ 07650-1565
Phone Number
201-944-2558
Primary Taxonomy
Acupuncturist · 171100000X
Sole Proprietor
Yes
Provider Enumeration Date
April 9, 2019
Last Update Date
April 9, 2019
NPI Status
Active

Provider Business Practice Location Address Details

Address
232 Broad Ave Ste 208
Palisades Park, NJ 07650-1565
Zip
07650-1565
Phone Number
201-944-2558
Palisades Park, NJ 07650Get directions →

Provider Business Mailing Address Details

Address
232 Broad Ave Ste 208
Palisades Park, NJ 07650-1565
City
Palisades Park
State
NJ
Zip
07650-1565
Phone Number
201-944-2558

License Information

License Number
25MZ00075100
License State
NJ
Taxonomy
Acupuncturist · 171100000X · Primary

Legacy Identifiers

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

Other Acupuncturists near Palisades Park, NJ

View all Acupuncturists in Palisades Park →

Frequently Asked Questions

What is the NPI number of Longfellow Song, L AC?

The NPI number of Longfellow Song, L AC is 1407319247. It was assigned on April 9, 2019 and is currently active in the NPPES registry.

What is the specialty of Longfellow Song, L AC?

Longfellow Song, L AC is registered under the primary taxonomy Acupuncturist (code 171100000X), licensed in NJ under license number 25MZ00075100.

Where does Longfellow Song, L AC practice?

The practice location is 232 Broad Ave Ste 208, Palisades Park, NJ 07650-1565. The office can be reached at 201-944-2558 (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 1407319247 directly on the NPPES registry website.

Browse related providers