| NPI | 1235551219 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DEREK BARCLAY Co Owner 585-709-1482 |
| Organization Subpart ? | No |
| Primary Taxonomy | 171100000X Acupuncturist (Licence: NY 004900) |
| Additional Taxonomies | 171100000X Acupuncturist (Licence: NY 005091) |
| 261QP2000X Clinic/Center, Physical Therapy (Licence: NY 030451) | |
| Enumeration Date | 2014-01-10 |
| Last Update Date | 2014-01-10 |