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Organization

BLISS ACUPUNCTURE P.C.

Active
Organization subpart
No

Provider details

NPI number
Authorized official
JUSTIN WILFRED DOUGHERTY L.AC. (OWNER)
(516) 993-1416
Entity
Organization

Contact information

Practice address
516 LAKEVILLE RD, 516 LAKEVILLE ROAD, NEW HYDE PARK, NY 11040-3006
(516) 993-1416
Mailing address
PO BOX 769, NEW HYDE PARK, NY 11040-0769

Taxonomy

Speciality
Code
Description
License number
State
171100000X
Acupuncturist
Primary
005672
NY

Other

Enumeration date
05/28/2016
Last updated
05/28/2016
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