Basic Information
Provider Information
NPI: 1659752756
EntityType: 1
ReplacementNPI:  
OrganizationName:  
LastName: HAIGNEY
FirstName: ZACHARY
MiddleName:  
NamePrefix:  
NameSuffix:  
Credential: L.AC.
OtherOrganizationName:  
OtherOrganizationType:  
OtherLastName:  
OtherFirstName:  
OtherMiddleName:  
OtherNamePrefix:  
OtherNameSuffix:  
OtherCredential:  
OtherLastNameType:  
Mailing Information
Address1: 95 UNIVERSITY PL
Address2: 8TH FLOOR
City: NEW YORK
State: NY
PostalCode: 100034515
CountryCode: US
TelephoneNumber:  
FaxNumber:  
Practice Location
Address1: 95 UNIVERSITY PL
Address2: 8TH FLOOR
City: NEW YORK
State: NY
PostalCode: 100034515
CountryCode: US
TelephoneNumber: 2126041316
FaxNumber:  
Other Information
ProviderEnumerationDate: 06/15/2015
LastUpdateDate: 10/01/2015
NPIDeactivationReasonCode:  
NPIDeactivationDate:  
NPIReactivationDate:  
ProviderGenderCode: M
AuthorizedOfficialLastName:  
AuthorizedOfficialFirstName:  
AuthorizedOfficialMiddleName:  
AuthorizedOfficialTitleorPosition:  
AuthorizedOfficialTelephone:  
IsSoleProprietor: N
IsOrganizationSubpart:  
ParentOrganizationLBN:  
AuthorizedOfficialNamePrefix:  
AuthorizedOfficialNameSuffix:  
AuthorizedOfficialCredential:  
NPICertificationDate:  

Taxonomy Information
TaxonomyLicenseStateSwitchTaxonomyGroupTaxonomyTypeTaxonomyClassSubSpecialty
171100000X005583NYY Other Service ProvidersAcupuncturist 

No ID Information.


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