Organization · NPI-2

315 Madison Wellness Medical PLLC

Acupuncturist · New York, NY

NPI number1235849076
StatusActive
Last updated in NPPESDec 2, 2022

Details

NPI
1235849076
Entity type
Organization (NPI-2)
Legal business name
315 Madison Wellness Medical PLLC
Organization subpart
No
Enumeration date
Dec 2, 2022
Certification date
Dec 2, 2022
Last updated
Dec 2, 2022

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
171100000X Acupuncturist––Yes
174400000X Specialist––
225100000X Physical Therapist––

Practice location

315 Madison Ave Rm 901
New York, NY 10017-5427

Phone 848-565-4819

Mailing address

315 Madison Ave Rm 901
New York, NY 10017-5427

Phone 848-565-4819

Authorized official

Jenny Dong
Office Manager
8485654819

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