| NPI | 1760737076 | 
|---|---|
| Entity Type | Organization | 
| Authorized Contact | CONSUELO CASAROTTO Owner 347-743-5623 | 
| Organization Subpart ? | No | 
| Primary Taxonomy | 171100000X Acupuncturist (Licence: NY 004564) | 
| Additional Taxonomies | 171100000X Acupuncturist (Licence: NY 004564-1) | 
| Enumeration Date | 2012-07-24 | 
| Last Update Date | 2018-07-16 |