Organization
RONALD SANDOVAL, ACUPUNCTURE, MASSAGE THERAPY, PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. RONALD O SANDOVAL L.AC, LMT (PRESIDENT)
(631) 424-8601
Entity
Organization
Contact information
Practice address
1789 E JERICHO TPKE, SUITE 200, HUNTINGTON, NY 11743-5765
(631) 424-8601
(631) 424-8603
Mailing address
1789 E JERICHO TPKE, SUITE 200, HUNTINGTON, NY 11743-5765
(631) 424-8601
(631) 424-8603
Taxonomy
Speciality
Code
Description
License number
State
171100000X
Acupuncturist
Primary
001938
NY
225700000X
Massage Therapist
009300
NY
Other
Enumeration date
09/18/2008
Last updated
09/18/2008
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