Organization
SACRED SPACE ACUPUNCTURE INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. DEBORAH HILDERLEY (BILLING REPRESENTATIVE)
(352) 683-3855
Entity
Organization
Contact information
Practice address
97 S BROADWAY, NYACK, NY 10960-4434
(347) 886-9695
Mailing address
97 S BROADWAY, NYACK, NY 10960-4434
(347) 886-9695
Taxonomy
Speciality
Code
Description
License number
State
171100000X
Acupuncturist
Primary
0027681
NY
225100000X
Physical Therapist
0180411
NY
Other
Enumeration date
08/15/2013
Last updated
08/15/2013
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