Organization · Type 2 NPI

Eagle Peak Wellness, Inc.

Clinic/Center · Kingston, NY

NPI number 1396411690 Active

Practice location

394 Hasbrouck Ave # 2C
Kingston, NY 12401-4631

Call (845) 750-4896 Map

Other practice locations

124 Main St Ste 2, New Paltz, NY 12561-1552 · (845) 750-4896

Specialties and licenses

Taxonomy	Code	License
Clinic/Center Primary	261Q00000X	None listed

Clinic/Center: A facility or distinct part of one used for the diagnosis and treatment of outpatients. "Clinic/Center" is irregularly defined, sometimes being limited to organizations serving specialized treatment requirements or distinct patient/client groups (e.g., radiology, poor, and public health).

Other clinic/center providers in Kingston

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NPI record

NPI: 1396411690
Entity type: Organization (Type 2)
Issued: Aug 18, 2021
Last updated: Aug 28, 2023
Status: Active

Other names

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Eagle Peak Acupuncture · doing business as
Eagle Peak Acupuncture · doing business as

Authorized official

Jacquelyn Rose Riddick, LAC, LMT
President
(845) 750-4896

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This page mirrors the public NPPES file. For credentialing or billing, confirm it on the official CMS NPI Registry, and check the license with the state board.

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About NPI 1396411690

Eagle Peak Wellness, Inc.'s National Provider Identifier is 1396411690, issued on Aug 18, 2021. The primary taxonomy on file is Clinic/Center (261Q00000X), and the practice location is in Kingston, NY. The record was last updated on Aug 28, 2023.