Organization
SMITHTOWN ACUPUNCTURE AND WELLNESS PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. KENNETH MOSS L.AC., L.M.T. (PRESIDENT)
(631) 265-5656
Entity
Organization
Contact information
Practice address
20 GILBERT AVE, STE. 202, SMITHTOWN, NY 11787-5326
(631) 265-5656
(631) 265-5660
Mailing address
24 GILBERT AVE, SMITHTOWN, NY 11787-5310
(631) 265-5656
(631) 265-5660
Taxonomy
Speciality
Code
Description
License number
State
171100000X
Acupuncturist
Primary
001316
NY
Other
Enumeration date
05/23/2007
Last updated
01/30/2008
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