Organization
MERIDIAN ACUPUNCTURE PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. SUSAN R. GRODENSKY M.S.O.M., LAC. (ACUPUNCTURIST)
(585) 369-6850
Entity
Organization
Contact information
Practice address
1 W MAIN ST, HONEOYE FALLS, NY 14472-1101
(585) 369-6850
Mailing address
26 AZALEA RD, ROCHESTER, NY 14620-3020
(585) 880-4554
Taxonomy
Speciality
Code
Description
License number
State
305R00000X
Preferred Provider Organization
Primary
002226
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
002226
—
NY
Enumeration date
03/23/2015
Last updated
03/23/2015
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