DoctorDataHub
Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

MR. RYDER J. CHAMPOUILLON, MSOM, L.AC

Active

MR. RYDER J. CHAMPOUILLON, MSOM, L.AC is a Acupuncturist healthcare provider located in PORT JEFFERSON STATION, New York. NPI 1265763072 is currently active in the NPPES registry. Verify at CMS.

Acupuncturist · PORT JEFFERSON STATION, NY

Registration Details

NPI Number
1265763072
Provider Type
Individual
Gender
Male
NPI Issued
Jan 18, 2010 (16.565786492207 yrs)
Last Updated
Aug 9, 2013
License
003573-1 (NY)

Practice Information

Address
166 BERGEN ST
PORT JEFFERSON STATION, NY, 117761910
Browse NY providers · Browse ZIP 11776
Phone
6316295433
Primary Specialty
Acupuncturist
171100000X

Other Acupuncturist Providers in PORT JEFFERSON STATION, NY

Name Credential NPI
MEIXIA YUAN LAC 1689648198
MARK EDWARD PETRUZZI L.AC., L.M.T. 1235433301
MS. CAROL A. PALMER I L.AC., MS 1578978078
DANA ADAMKIEWICZ 1063969517
AMALIA HADDAD 1730614645
MISS MELISSA E GERMANO L.AC 1205304219
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.