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Organization

BEYOND SPORTS ACUPUNCTURE AND MASSAGE THERAPY PLLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
DR. JOSHUA GUTIERREZ (ACUPUNCTURIST)
(631) 481-6478
Entity
Organization

Contact information

Practice address
203 CAYUGA AVE, DEER PARK, NY 11729-1624
(631) 481-6478
Mailing address
203 CAYUGA AVE, DEER PARK, NY 11729-1624

Taxonomy

Speciality
Code
Description
License number
State
171100000X
Acupuncturist
Primary
225700000X
Massage Therapist

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
004878
ACUPUNCTURIST
NY
01
020015
MASSAGE THERAPIST
NY
Enumeration date
01/23/2023
Last updated
01/23/2023
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