Organization
CRC 1111 INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CATHERINE R CUSUMANO M.S., L.AC. (OWNER/ACUPUNCTURIST)
(917) 941-8423
Entity
Organization
Contact information
Practice address
13 CROSS ST, BEACON, NY 12508-1802
(917) 941-8423
Mailing address
13 CROSS ST, BEACON, NY 12508-1802
(917) 941-8423
Taxonomy
Speciality
Code
Description
License number
State
171100000X
Acupuncturist
Primary
—
—
Other
Enumeration date
12/26/2018
Last updated
12/26/2018
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