Organization
IREVIVE ACUPUNCTURE PLLC
Active
Organization
IREVIVE ACUPUNCTURE PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MARLA TUFARELLI LAC (OWNER)
(631) 355-7300
Entity
Organization
Contact information
Practice address
556 N COUNTRY RD STE 20, SAINT JAMES, NY 11780-1422
(631) 355-7300
Mailing address
556 N COUNTRY RD STE 20, SAINT JAMES, NY 11780-1422
Taxonomy
Speciality
Code
Description
License number
State
171100000X
Acupuncturist
Primary
—
—
225700000X
Massage Therapist
—
—
Other
Enumeration date
11/29/2018
Last updated
11/29/2018
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