Organization
SAYVILLE THERAPEUTIC SPA INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
WIESLAWA MALISZEWSKI L.AC, LMT (PRESIDENT/OWNER)
(631) 563-8955
Entity
Organization
Contact information
Practice address
120 MAIN ST, SAYVILLE, NY 11782-2504
(631) 563-8955
(631) 563-1824
Mailing address
120 MAIN ST, SAYVILLE, NY 11782-2504
(631) 563-8955
(631) 563-1824
Taxonomy
Speciality
Code
Description
License number
State
171100000X
Acupuncturist
Primary
004279-1
NY
Other
Enumeration date
08/17/2011
Last updated
08/17/2011
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