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Individual

THOMAS J CODY

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man

Contact information

Practice address
4 CEDAR ROAD, LINCOLNDALE, NY 10540
(917) 992-6121
Mailing address
PO BOX 355, LINCOLNDALE, NY 10540-0355
(917) 992-6121

Taxonomy

Speciality
Code
Description
License number
State
171100000X
Acupuncturist
000654
CT
171100000X
Acupuncturist
005676
NY
171100000X
Acupuncturist
25MZ00133100
NJ
171100000X
Acupuncturist
Primary
NYS005676
NY

Other

Enumeration date
01/30/2018
Last updated
12/26/2018
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