Nicole Lauren Candrilli, M.S.,L.Ac
Acupuncturist in Island Park, NY. Individual provider (NPI-1).
NPI number1770001166
StatusActive
Last updated in NPPESSep 6, 2017
Details
- NPI
- 1770001166
- Entity type
- Individual (NPI-1)
- Name
- Nicole Lauren Candrilli
- Credential
- M.S.,L.Ac
- Sex
- Female
- Sole proprietor
- Yes
- Enumeration date
- Sep 6, 2017
- Last updated
- Sep 6, 2017
Medicare and OIG
- Medicare enrolled (PECOS)
- Not in the Medicare enrollment file
- Can order and refer
- Not on the CMS order and referring list
- OIG exclusion list
- This NPI is not listed
CMS and OIG files of November 2026. PECOS lookup · OIG exclusion check
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 171100000X | Acupuncturist | 006059 | NY | Yes |
Practice location
4454 Austin BlvdIsland Park, NY 11558-1621
Phone 646-872-1985
Mailing address
120 Mitchell AveLong Beach, NY 11561-3860
Phone 646-872-1985
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Other Acupuncturist providers in Island Park, NY
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