Organization
SMITHTOWN ACUPUNCTURE AND WELLNESS PC
Active
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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