Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Jeremy Paul Mierisch, LAC, MS

Individual provider Acupuncturist · NPI 1720425267

Jeremy Paul Mierisch, LAC, MS is an Acupuncturist in East Patchogue, New York. Licensed in New York. Registered with an NPI since 2013.

Licensed in
NY
In the registry since
2013
What do these letters mean?
LAC — Licensed Associate Counselor
A counsellor practising under supervision toward full licensure. In some states the same letters mean Licensed Acupuncturist.
MS — Master of Science
A graduate science degree.

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Practice location Address checks out

10 Dahlia Dr W
East Patchogue, NY 11772-4860
Phone: (631) 835-2415
Fax: (631) 627-3960
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Acupuncturist (primary) Taxonomy 171100000X · Licence 005062 (NY)

Record details

NPI number1720425267
Entity typeIndividual (Type 1)
GenderMale
Credentials LAC , MS
Sole proprietorNo
NPI enumeratedMay 23, 2013
Last updated in NPPESMay 23, 2013

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