Organization
BLISS ACUPUNCTURE P.C.
Active
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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