Organization
FREE RANGE ACUPUNCTURE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. TABITHA ROSE SILVER MS, L.AC. (OWNER)
(646) 785-4243
Entity
Organization
Contact information
Practice address
3111 BROADWAY, SUITE A, NEW YORK, NY 10027-4602
(347) 699-0858
Mailing address
615 W 113TH ST, #66, NEW YORK, NY 10025-7970
(646) 785-4243
Taxonomy
Speciality
Code
Description
License number
State
171100000X
Acupuncturist
Primary
005270
NY
Other
Enumeration date
01/13/2015
Last updated
07/17/2015
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