Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Mark Edward Petruzzi, LAC, LMT

Individual provider Acupuncturist · NPI 1235433301

Mark Edward Petruzzi, LAC, LMT is an Acupuncturist in Port Jefferson Station, New York. Practices as a sole proprietor. Licensed in New York.

Licensed in
NY
In the registry since
2011
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.
LMT — Licensed Massage Therapist
A state-licensed massage therapist.

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Practice location Address checks out

5225 Rte 347
Port Jefferson Station, NY 11776-2053
Phone: (631) 559-2220
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Acupuncturist (primary) Taxonomy 171100000X · Licence 2813 (NY)

Record details

NPI number1235433301
Entity typeIndividual (Type 1)
GenderMale
Credentials LAC , LMT
Sole proprietorYes
NPI enumeratedJanuary 5, 2011
Last updated in NPPESJanuary 5, 2011

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