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Organization

EAST SIDE ACUPUNCTURE

Active
Organization subpart
No

Provider details

NPI number
Authorized official
MR. CASEY LEWIS LAC (ACUPUNCTURIST)
(315) 569-6579
Entity
Organization

Contact information

Practice address
7211 E GENESEE ST, FAYETTEVILLE, NY 13066-1262
(315) 569-6579
(315) 637-3999
Mailing address
7211 E GENESEE ST, FAYETTEVILLE, NY 13066-1262
(315) 569-6579
(315) 637-3999

Taxonomy

Speciality
Code
Description
License number
State
171100000X
Acupuncturist
Primary
4092
NY

Other

Enumeration date
05/26/2016
Last updated
05/26/2016
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