| NPI | 1578807459 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ANTHONY GORDON President 631-708-3500 |
| Organization Subpart ? | No |
| Primary Taxonomy | 171100000X Acupuncturist (Licence: NY 004558) |
| Additional Taxonomies | 225700000X Massage Therapist (Licence: NY 019129) |
| Enumeration Date | 2012-11-16 |
| Last Update Date | 2019-09-17 |