Organization
DYNAMIC WELLNESS INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ANDREA CONTE LAC, LMT (LICENSED ACUPUNTURIST)
(631) 682-9853
Entity
Organization
Contact information
Practice address
6 FRANCONIA RD, EAST NORTHPORT, NY 11731-3911
(631) 682-9853
Mailing address
6 FRANCONIA RD, EAST NORTHPORT, NY 11731-3911
(631) 682-9853
Taxonomy
Speciality
Code
Description
License number
State
171100000X
Acupuncturist
Primary
005650
NY
225700000X
Massage Therapist
025341
NY
Other
Enumeration date
03/02/2017
Last updated
03/02/2017
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