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Organization

MCZ REGENERATIVE HEALTH

Active
Organization subpart
No

Provider details

NPI number
Authorized official
DEIRDRE MCCOOL BILLER (BILLER)
(631) 404-7073
Entity
Organization

Contact information

Practice address
384 MARK TREE RD, EAST SETAUKET, NY 11733-1002
(631) 404-7073
Mailing address
384 MARK TREE RD, EAST SETAUKET, NY 11733-1002
(631) 404-7073

Taxonomy

Speciality
Code
Description
License number
State
171100000X
Acupuncturist
Primary
25005547
CT

Other

Enumeration date
01/18/2017
Last updated
01/18/2017
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