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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