| NPI | 1750778064 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JORDAN DANIEL BARBER Member 917-409-6659 |
| Organization Subpart ? | No |
| Primary Taxonomy | 171100000X Acupuncturist (Licence: NY 3667) |
| Additional Taxonomies | 225700000X Massage Therapist (Licence: NY 18268) |
| Enumeration Date | 2015-04-24 |
| Last Update Date | 2025-11-04 |