Organization
SILVER SECRETS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DAWN E RISTAU L.AC. (OWNER)
(516) 586-4364
Entity
Organization
Contact information
Practice address
954 N BROADWAY, N MASSAPEQUA, NY 11758-2360
(516) 586-4364
Mailing address
278 N ATLANTA AVE, MASSAPEQUA, NY 11758-2011
Taxonomy
Speciality
Code
Description
License number
State
171100000X
Acupuncturist
Primary
—
—
Other
Enumeration date
04/19/2023
Last updated
04/19/2023
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