Organization
IN BALANCE ACU CORP
Active
Organization
IN BALANCE ACU CORP
Active
Organization subpart
No
Provider details
NPI number
Authorized official
RALPH EDWARD HINKSON LAC (ACUPUNCTURIST)
(631) 559-5934
Entity
Organization
Contact information
Practice address
65 AIR PARK DR, RONKONKOMA, NY 11779-7374
(631) 559-5934
Mailing address
48 JOHNSON AVE N, KINGS PARK, NY 11754-3519
(631) 559-5934
Taxonomy
Speciality
Code
Description
License number
State
171100000X
Acupuncturist
Primary
04778
NY
Other
Enumeration date
09/26/2016
Last updated
09/26/2016
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