Organization
ELYSIAN FOREST ACUPUNCTURE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. RHEA THERESA BRODERICK LAC, RT (ACUPUNCTURIST)
(347) 927-4324
Entity
Organization
Contact information
Practice address
1207 E 45TH ST, BROOKLYN, NY 11234-1429
(347) 927-4324
Mailing address
1207 E 45TH ST, BROOKLYN, NY 11234-1429
(347) 927-4324
Taxonomy
Speciality
Code
Description
License number
State
171100000X
Acupuncturist
Primary
25 005552
NY
Other
Enumeration date
08/08/2015
Last updated
08/08/2015
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