Organization
MODERN VITALITY ACUPUNCTURE PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MANLI LI LAC (MANAGER)
(646) 726-0892
Entity
Organization
Contact information
Practice address
8794 17TH AVE APT 101, BROOKLYN, NY 11214-6097
(646) 726-0892
Mailing address
8794 17TH AVE APT 101, BROOKLYN, NY 11214-6097
(646) 726-0892
Taxonomy
Speciality
Code
Description
License number
State
171100000X
Acupuncturist
Primary
—
—
Other
Enumeration date
07/20/2023
Last updated
07/20/2023
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