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Organization

SOUTHOLD ACUPUNCTURE & MASSAGE THERAPY PLLC

Active
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Organization

SOUTHOLD ACUPUNCTURE & MASSAGE THERAPY PLLC

Active
Other names
Easterm Sun Holistic Health
Organization subpart
No

Provider details

NPI number
Authorized official
CARRIE IMPERATO (OWNER)
(631) 765-2100
Entity
Organization

Contact information

Practice address
53345 MAIN RD, SOUTHOLD, NY 11971-4643
(631) 765-2100
Mailing address
PO BOX 523, SOUTHOLD, NY 11971-0523

Taxonomy

Speciality
Code
Description
License number
State
171100000X
Acupuncturist
Primary
005542
NY
405300000X
Prevention Professional
022202
NY

Other

Enumeration date
04/07/2017
Last updated
04/07/2017
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