| NPI | 1417276890 |
|---|---|
| Doing Business As | INNERSOURCE HEALTH |
| Entity Type | Organization |
| Authorized Contact | JOSEPHINE LOGIUDICE Co Owner 631-421-1848 |
| Organization Subpart ? | No |
| Primary Taxonomy | 171100000X Acupuncturist |
| Enumeration Date | 2010-05-24 |
| Last Update Date | 2010-05-24 |