| NPI | 1528217189 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | RONALD O SANDOVAL President 631-424-8601 |
| Organization Subpart ? | No |
| Primary Taxonomy | 171100000X Acupuncturist (Licence: NY 001938) |
| Additional Taxonomies | 225700000X Massage Therapist (Licence: NY 009300) |
| Enumeration Date | 2008-09-18 |
| Last Update Date | 2008-09-18 |