| NPI | 1336850684 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | RANDALL BLOCK Owner 631-219-8671 |
| Organization Subpart ? | No |
| Primary Taxonomy | 171100000X Acupuncturist |
| Additional Taxonomies | 175F00000X Naturopath |
| 261Q00000X | |
| Enumeration Date | 2022-12-07 |
| Last Update Date | 2023-05-10 |