Individual provider · NPI-1

Patrick B Odierna, L.Ac, LMT

Acupuncturist · Babylon, NY

NPI number1013622828
StatusActive
Last updated in NPPESJan 16, 2023

Details

NPI
1013622828
Entity type
Individual (NPI-1)
Name
Mr. Patrick B Odierna
Credential
L.Ac, LMT
Sex
Male
Sole proprietor
Yes
Enumeration date
Jan 16, 2023
Certification date
Jan 16, 2023
Last updated
Jan 16, 2023

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
171100000X Acupuncturist007206NYYes

Practice location

29 Village Line Rd
Babylon, NY 11702-1510

Phone 631-236-2982

Mailing address

29 Village Line Rd
Babylon, NY 11702-1510

Phone 631-236-2982

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