Organization
PHASES ACUPUNCTURE P.C
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SCOTT RE L.AC (OWNER/PRESIDENT)
(631) 828-4471
Entity
Organization
Contact information
Practice address
701 ROUTE 25A STE A3, MOUNT SINAI, NY 11766-2050
(631) 828-4471
Mailing address
701 ROUTE 25A STE A3, MOUNT SINAI, NY 11766-2050
(631) 828-4471
(631) 828-4472
Taxonomy
Speciality
Code
Description
License number
State
171100000X
Acupuncturist
Primary
—
—
225700000X
Massage Therapist
—
—
Other
Enumeration date
07/22/2020
Last updated
07/22/2020
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