Organization
SUFEN GONG ACUPUNCTURE CLINIC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SUFEN GONG ACUPUNCTURIST (L.AC)
(607) 621-3126
Entity
Organization
Contact information
Practice address
4513 OLD VESTAL RD, VESTAL, NY 13850-3571
(607) 621-3126
(607) 729-6434
Mailing address
4513 OLD VESTAL RD, VESTAL, NY 13850-3571
(607) 621-3126
(607) 729-6434
Taxonomy
Speciality
Code
Description
License number
State
171100000X
Acupuncturist
Primary
3061
NY
Other
Enumeration date
08/14/2012
Last updated
08/14/2012
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