Organization
PHOENIX EASTERN ACUPNCTURE PC
Active
Other names
Phoenix Eastern Medicine Center
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. GENEVIEVE LEE L.AC. (PRESIDENT)
(516) 742-0637
Entity
Organization
Contact information
Practice address
393 JERICHO TPKE, SUITE 207, MINEOLA, NY 11501-1200
(516) 742-0637
(516) 742-0318
Mailing address
393 JERICHO TPKE, SUITE 207, MINEOLA, NY 11501-1200
(516) 742-0637
(516) 742-0318
Taxonomy
Speciality
Code
Description
License number
State
171100000X
Acupuncturist
Primary
001739-1
NY
Other
Enumeration date
06/20/2007
Last updated
08/22/2020
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