Provider Demographics
NPI:1770919631
Name:NYARI, RICHARD (LAC)
Entity type:Individual
Prefix:MR
First Name:RICHARD
Middle Name:
Last Name:NYARI
Suffix:
Gender:M
Credentials:LAC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:30 ALLEN ST
Mailing Address - Street 2:APARTMENT 5B
Mailing Address - City:NEW YORK
Mailing Address - State:NY
Mailing Address - Zip Code:10002-5363
Mailing Address - Country:US
Mailing Address - Phone:646-918-0944
Mailing Address - Fax:
Practice Address - Street 1:30 ALLEN ST
Practice Address - Street 2:APARTMENT 5B
Practice Address - City:NEW YORK
Practice Address - State:NY
Practice Address - Zip Code:10002-5363
Practice Address - Country:US
Practice Address - Phone:646-918-0944
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2013-09-23
Last Update Date:2014-11-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY004747-1171100000X
NJ25MZ00094500171100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171100000XOther Service ProvidersAcupuncturist