Organization
ACUPUNCTURE PAIN MANAGEMENT PC
Active
Organization
ACUPUNCTURE PAIN MANAGEMENT PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. SHAHLA GHAZALI (ACUPUNCTURIST)
(516) 922-1869
Entity
Organization
Contact information
Practice address
15 JERICHO TURNPIKE, JERICHO, NY 11753
(516) 922-1869
Mailing address
866 HEIGHTS PLACE, OYSTER BAY, NY 11771
Taxonomy
Speciality
Code
Description
License number
State
171100000X
Acupuncturist
Primary
00166901
NY
Other
Enumeration date
06/22/2007
Last updated
08/22/2020
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