Organization
MOON ACUPUNCTURE, PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
RANDY MUN GONZALES LAC (PRESIDENT)
(631) 875-7200
Entity
Organization
Contact information
Practice address
932 SUFFOLK AVE, BRENTWOOD, NY 11717-4502
(631) 524-5224
Mailing address
820 SUFFOLK AVENUE, SUITE 201, BRENTWOOD, NY 11717-5132
(631) 875-7200
Taxonomy
Speciality
Code
Description
License number
State
261Q00000X
Clinic/Center
Primary
—
—
Other
Enumeration date
07/31/2013
Last updated
09/07/2016
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