Organization
EARTH SKY MASSAGE AND ACUPUNCTURE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KENNA BOUVET LAC (OWNER)
(269) 223-2496
Entity
Organization
Contact information
Practice address
531 50TH AVE, LONG ISLAND CITY, NY 11101-6297
(917) 725-0299
Mailing address
531 50TH AVE, LONG ISLAND CITY, NY 11101-6297
(917) 725-0299
Taxonomy
Speciality
Code
Description
License number
State
261QH0100X
Health Service Clinic/Center
Primary
—
—
Other
Enumeration date
12/08/2022
Last updated
12/08/2022
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