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Organization

FORGET ME NOT ACUPUNCTURE PC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
EDWARD PATRICK GOUSSE L.AC. (ACUPUNCTURIST)
(631) 257-5663
Entity
Organization

Contact information

Practice address
363 HAUPPAUGE RD, NY-111, SUITE 97, SMITHTOWN, NY 11787
(631) 257-5663
(631) 257-5664
Mailing address
363 HAUPPAUGE RD, SUITE 97, NY-111, SMITHTOWN, NY 11787
(631) 257-5663
(631) 257-5664

Taxonomy

Speciality
Code
Description
License number
State
171100000X
Acupuncturist
Primary

Other

Enumeration date
03/23/2022
Last updated
03/23/2022
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