Individual
MORDECHAI GENUT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
L.AC.
Contact information
Practice address
125 S MAIN ST, NEW CITY, NY 10956
(718) 801-6882
Mailing address
133 POMONA RD, POMONA, NY 10970-3526
(718) 801-6882
Taxonomy
Speciality
Code
Description
License number
State
171100000X
Acupuncturist
Primary
004149
NY
Other
Enumeration date
02/14/2011
Last updated
09/30/2020
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