Organization
THERAPEUTIC ACUPUNCTURE WELLNESS PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. DOREEN RISER L.AC.,PTA (L,AC., PTA/OWNER)
(914) 301-0003
Entity
Organization
Contact information
Practice address
19 NORTH SALEM ROAD, CROSS RIVER, NY 10518
(914) 301-0003
(321) 610-7496
Mailing address
19 NORTH SALEM ROAD, PO BOX 396, CROSS RIVER, NY 10518
(914) 301-0003
(321) 610-7496
Taxonomy
Speciality
Code
Description
License number
State
261Q00000X
Clinic/Center
Primary
003438
NY
Other
Enumeration date
10/03/2013
Last updated
10/03/2013
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