Active NPIIndividual providerSole proprietor

Kristin Dudley, LAC

Acupuncturist in Nyack, New York

NPI Number1780770727
Practice location
180 S Broadway, Nyack, NY 10960-4423
Fax
845-353-3628
Last updated
July 8, 2007

Kristin Dudley is an Acupuncturist based in Nyack, NY. Kristin Dudley practices in Nyack, NY and has the professional credentials of LAC. The NPI Number for Kristin Dudley is 1780770727 and holds a License No. 1279-1 (NY). The current practice location address for Kristin Dudley is 180 S Broadway, Nyack, NY 10960-4423 and can be reached out via phone at 845-353-3267 and via fax at 845-353-3628.

Provider Profile Details

NPI Number
1780770727
Provider Name
Kristin Dudley
Credential
LAC
Provider Entity Type
Individual
Gender
Female
Address
180 S Broadway, Nyack, NY 10960-4423
Phone Number
845-353-3267
Fax Number
845-353-3628
Primary Taxonomy
Acupuncturist · 171100000X
Sole Proprietor
Yes
Provider Enumeration Date
October 5, 2006
Last Update Date
July 8, 2007
NPI Status
Active

Provider Business Practice Location Address Details

Address
180 S Broadway
Nyack, NY 10960-4423
City
Nyack
Zip
10960-4423
Phone Number
845-353-3267
Fax Number
845-353-3628
Nyack, NY 10960Get directions →

Provider Business Mailing Address Details

Address
904 Sampson Ave
Alpha, NJ 08865-4444
City
Alpha
State
NJ
Zip
08865-4444
Phone Number
973-979-1652

License Information

License Number (1)
1279-1
License State (1)
NY
Taxonomy (1)
Acupuncturist · 171100000X · Primary
License Number (2)
25MZ00021800
License State (2)
NJ
Taxonomy (2)
Acupuncturist · 171100000X

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 Kristin Dudley, LAC?

The NPI number of Kristin Dudley, LAC is 1780770727. It was assigned on October 5, 2006 and is currently active in the NPPES registry.

What is the specialty of Kristin Dudley, LAC?

Kristin Dudley, LAC is registered under the primary taxonomy Acupuncturist (code 171100000X), licensed in NY under license number 1279-1.

Where does Kristin Dudley, LAC practice?

The practice location is 180 S Broadway, Nyack, NY 10960-4423. The office can be reached at 845-353-3267 (phone) or 845-353-3628 (fax).

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 1780770727 directly on the NPPES registry website.

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