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Organization

CRC 11 11 ACUPUNTURE, PLLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
MS. CATHERINE R CUSUMANO M.S., L. AC. (LICENSED ACUPUNCTURIST)
(917) 941-8423
Entity
Organization

Contact information

Practice address
13 CROSS ST, BEACON, NY 12508-1802
(917) 941-8423
Mailing address
13 CROSS ST, BEACON, NY 12508-1802
(917) 941-8423

Taxonomy

Speciality
Code
Description
License number
State
171100000X
Acupuncturist
Primary

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
1851505499
SOLE PROPRIETOR'S NUMBER
NY
Enumeration date
04/01/2020
Last updated
04/01/2020
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