# NORTHEASTERN ACUPUNCTURE

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1467640037
- **Authorized official:** JANNET MOLINA-MANTEIGA (OWNER)
- **Authorized official phone:** (201) 388-0535

## Contact information

- **Practice address:** 579 BERGEN BLVD, RIDGEFIELD, NJ 07657-2032
- **Practice address phone:** (201) 388-0535
- **Mailing address:** 409 JOHNED RD, NORTHVALE, NJ 07647-1111
- **Mailing address phone:** (201) 388-0535

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 171100000X | Acupuncturist | 25MZ00067300 | NJ | Yes |

## Other

- **Enumeration date:** 10/09/2007
- **Last updated:** 07/28/2009