| NPI | 1497595078 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CYNTHIA MARIE GRANEY Owner 631-278-0126 |
| Organization Subpart ? | No |
| Primary Taxonomy | 171100000X Acupuncturist |
| Additional Taxonomies | 225700000X Massage Therapist |
| Enumeration Date | 2024-05-30 |
| Last Update Date | 2024-05-30 |