NPI | 1912371857 |
---|---|
Doing Business As | LONGEVITY COMPLEMENTARY CARE CENTER |
Entity Type | Organization |
Authorized Contact | ADRIENNE JOELLE GOODMAN Doctor Of Chinese Medicine 315-310-5538 |
Organization Subpart ? | No |
Primary Taxonomy | 171100000X Acupuncturist (Licence: NY 004574) |
Enumeration Date | 2015-11-16 |
Last Update Date | 2023-03-03 |