Organization
SUNDALA ON THE FARM INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. JODIE TASSELLO (PRESIDENT)
(914) 261-1495
Entity
Organization
Contact information
Practice address
103 S GREENBUSH RD, BUILDING 4, ORANGEBURG, NY 10962-1322
(914) 261-1495
Mailing address
103 S GREENBUSH RD, BUILDING 4, ORANGEBURG, NY 10962-1322
(914) 261-1495
Taxonomy
Speciality
Code
Description
License number
State
171100000X
Acupuncturist
Primary
004419
NY
Other
Enumeration date
11/30/2016
Last updated
12/28/2016
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