Provider Demographics
NPI:1730612516
Name:ACUHEALTH ACUPUNCTURE OF THE FINGER LAKES
Entity type:Organization
Organization Name:ACUHEALTH ACUPUNCTURE OF THE FINGER LAKES
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:MRS
Authorized Official - First Name:SARAH
Authorized Official - Middle Name:ROSE MANTELL
Authorized Official - Last Name:MARINO
Authorized Official - Suffix:
Authorized Official - Credentials:MS LAC
Authorized Official - Phone:315-719-7072
Mailing Address - Street 1:273 W. NORTH ST.
Mailing Address - Street 2:SUITE 1
Mailing Address - City:GENEVA
Mailing Address - State:NY
Mailing Address - Zip Code:14456
Mailing Address - Country:US
Mailing Address - Phone:315-719-7072
Mailing Address - Fax:
Practice Address - Street 1:225 BORDER CITY RD
Practice Address - Street 2:SUITE B
Practice Address - City:GENEVA
Practice Address - State:NY
Practice Address - Zip Code:14456-1971
Practice Address - Country:US
Practice Address - Phone:315-719-7072
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2017-04-07
Last Update Date:2024-02-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY004119171100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes171100000XOther Service ProvidersAcupuncturistGroup - Single Specialty