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Organization

JM ACUPUNCTURE WELLNESS, P.C.

Active
Organization subpart
No

Provider details

NPI number
Authorized official
MS. JEANINE MARTIN LAC (OWNER)
(516) 288-5333
Entity
Organization

Contact information

Practice address
29 BARSTOW RD STE 302, GREAT NECK, NY 11021-2209
(516) 288-5333
Mailing address
29 BARSTOW RD STE 302, GREAT NECK, NY 11021-2209
(516) 288-5333

Taxonomy

Speciality
Code
Description
License number
State
171100000X
Acupuncturist
Primary

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
004659
STATE LICENSE
NY
01
1902143167
NPI
NY
01
1924773
REGISTRATION CERTIFICATE
NY
Enumeration date
05/30/2019
Last updated
02/04/2025
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