Organization
LODES ACUPUNCTURE AND PHYSICAL THERAPY PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JESSIE JIMENEZ (OFFICE MANAGER)
(347) 665-8446
Entity
Organization
Contact information
Practice address
6937 MYRTLE AVE, GLENDALE, NY 11385-7265
(347) 665-8446
(718) 381-0700
Mailing address
6937 MYRTLE AVE, GLENDALE, NY 11385-7265
(347) 665-8446
(718) 381-0700
Taxonomy
Speciality
Code
Description
License number
State
261QM1300X
Multi-Specialty Clinic/Center
Primary
0045351
NY
261QP2000X
Physical Therapy Clinic/Center
0271821
NY
Other
Enumeration date
06/09/2016
Last updated
06/09/2016
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