Organization
KNIGHTS OF WELLNESS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DOUGLAS I JOHNSON LMT LAC MS (OWNER)
(516) 557-3583
Entity
Organization
Contact information
Practice address
119 N PARK AVE STE 301, ROCKVILLE CENTRE, NY 11570-4113
(516) 557-3583
Mailing address
130 BAISLEY AVE, EAST ROCKAWAY, NY 11518-1824
(516) 557-3583
Taxonomy
Speciality
Code
Description
License number
State
171100000X
Acupuncturist
Primary
005953
NY
Other
Enumeration date
09/05/2017
Last updated
09/05/2017
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