Phoenix Eastern Acupncture PC
Acupuncturist in Mineola, NY. Organization (NPI-2).
NPI number1861697633
StatusActive
Last updated in NPPESAug 22, 2020
Details
- NPI
- 1861697633
- Entity type
- Organization (NPI-2)
- Legal business name
- Phoenix Eastern Acupncture PC
- Organization subpart
- No
- Enumeration date
- Jun 20, 2007
- Last updated
- Aug 22, 2020
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 171100000X | Acupuncturist | 001739-1 | NY | Yes |
Other names
- Phoenix Eastern Medicine Center (Doing Business As)
Practice location
393 Jericho TpkeSuite 207
Mineola, NY 11501-1200
Phone 516-742-0637 · Fax 516-742-0318
Mailing address
393 Jericho TpkeSuite 207
Mineola, NY 11501-1200
Phone 516-742-0637 · Fax 516-742-0318
Authorized official
Genevieve Lee
President
5167420637
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