Organization
POINT OF LIFE ACUPUNCTURE, P.C.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. RYDER J. CHAMPOUILLON MSOM, L.AC (OWNER)
(631) 525-2161
Entity
Organization
Contact information
Practice address
166 BERGEN ST, PORT JEFFERSON STATION, NY 11776-2602
(631) 525-2161
Mailing address
166 BERGEN ST, PORT JEFFERSON STATION, NY 11776-2602
(631) 525-2161
Taxonomy
Speciality
Code
Description
License number
State
261Q00000X
Clinic/Center
Primary
0035731
NY
Other
Enumeration date
08/09/2013
Last updated
08/09/2013
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