Organization
PONCE ACUPUNCTURE, PC
Active
Organization
PONCE ACUPUNCTURE, PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MAITTES ROMERO DAC (ACUPUNCTURIST)
(917) 612-0201
Entity
Organization
Contact information
Practice address
9411 JAMAICA AVE FL 1, WOODHAVEN, NY 11421-2222
(718) 849-9696
Mailing address
10 WHISPERING FIELDS DR, NORTHPORT, NY 11768-2866
(917) 612-0201
Taxonomy
Speciality
Code
Description
License number
State
171100000X
Acupuncturist
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1336679281
NPI
NY
Enumeration date
09/17/2020
Last updated
09/17/2020
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