Organization
BODHI WELLNESS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. KATHRYN KOPS DAC, LAC, LMT (OWNER)
(631) 235-7511
Entity
Organization
Contact information
Practice address
28 ARPAGE DR E, SHIRLEY, NY 11967-3806
(631) 235-7511
Mailing address
28 ARPAGE DR E, SHIRLEY, NY 11967-3806
Taxonomy
Speciality
Code
Description
License number
State
171100000X
Acupuncturist
Primary
005453
NY
Other
Enumeration date
06/12/2018
Last updated
06/12/2018
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