Individual provider · NPI-1

Patrick Brian Foss, MSTOM

Acupuncturist · Jamaica, NY

NPI number1629466891
StatusActive
Last updated in NPPESDec 22, 2014

Details

NPI
1629466891
Entity type
Individual (NPI-1)
Name
Patrick Brian Foss
Credential
MSTOM
Sex
Male
Sole proprietor
Yes
Enumeration date
Dec 22, 2014
Last updated
Dec 22, 2014

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
171100000X Acupuncturist005456-1NYYes

Practice location

18226 Hillside Ave
2r
Jamaica, NY 11432-4837

Phone 619-213-9002

Mailing address

18226 Hillside Ave
2r
Jamaica, NY 11432-4837

Phone 619-213-9002

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