Organization
RADIANCE ACUPUNCTURE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
GAETANO PITTALA (OWNER)
(631) 745-1009
Entity
Organization
Contact information
Practice address
15 ECHO AVE, MOUNT SINAI, NY 11766-2000
(631) 476-4855
Mailing address
110 TUDOR LN, MIDDLE ISLAND, NY 11953-1362
Taxonomy
Speciality
Code
Description
License number
State
171100000X
Acupuncturist
Primary
—
—
225700000X
Massage Therapist
—
—
Other
Enumeration date
11/10/2023
Last updated
12/27/2023
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