Organization
ACUPUNCTURE LOCAL PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ROSANNA DE LA CRUZ LAC. (OWNER)
(347) 657-4386
Entity
Organization
Contact information
Practice address
4386 BROADWAY, NEW YORK, NY 10040-4002
(347) 657-4386
Mailing address
675 W 187TH ST APT 3, NEW YORK, NY 10033-1328
(347) 657-4386
Taxonomy
Speciality
Code
Description
License number
State
261QH0100X
Health Service Clinic/Center
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1407397151
BLUE CROSS BLUE SHIELD AND NORTHWELL
NY
Enumeration date
05/01/2025
Last updated
05/01/2025
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