Organization
CRC 11 11 ACUPUNTURE, PLLC
Active
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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