| NPI | 1366873275 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DONNA SMITH Chief Operating Officer 315-462-0100 |
| Organization Subpart ? | No |
| Primary Taxonomy | 171100000X Acupuncturist (Licence: NY 004665) |
| Additional Taxonomies | 225700000X Massage Therapist (Licence: NY 022094) |
| 225700000X Massage Therapist (Licence: NY 015013) | |
| 225700000X Massage Therapist (Licence: NY 025611) | |
| Enumeration Date | 2013-12-02 |
| Last Update Date | 2013-12-02 |