Organization
GOOD LIFE ACUPUNCTURE PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ADINA DABIJA L.AC. (OWNER)
(917) 254-8340
Entity
Organization
Contact information
Practice address
175D MANORHAVEN BLVD, PORT WASHINGTON, NY 11050-1536
(917) 254-8340
Mailing address
175 MANORHAVEN BLVD, UNIT D, PORT WASHINGTON, NY 11050
(917) 254-8340
Taxonomy
Speciality
Code
Description
License number
State
171100000X
Acupuncturist
Primary
003888
NY
Other
Enumeration date
10/20/2016
Last updated
10/20/2016
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