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Jeffrey Craig Nudelman, L.Ac. , L.M.T

Acupuncturist in Island Park, NY. Individual provider (NPI-1).

NPI number1992829055
StatusActive
Last updated in NPPESJul 8, 2007

Details

NPI
1992829055
Entity type
Individual (NPI-1)
Name
Mr. Jeffrey Craig Nudelman
Credential
L.Ac. , L.M.T
Sex
Male
Sole proprietor
Yes
Enumeration date
Mar 16, 2007
Last updated
Jul 8, 2007

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 codeDescriptionLicenseStatePrimary
171100000X Acupuncturist002454NYYes

Practice location

156 Long Beach Rd
Island Park, NY 11558-1512

Phone 515-359-8814 · Fax 516-536-5620

Mailing address

212 Bayside Ave
Oceanside, NY 11572-2922

Phone 516-359-8814 · Fax 516-536-5620

Is something wrong?

This page shows exactly what the provider filed with NPPES. Only the provider (or their surrogate) can change it, by signing in to NPPES. Our page updates within a day of their change. See how to update NPI information.

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