Organization
SHOLISTIC ACUPUNCTURE INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. SHIRLEY M ISME L.AC, RN (PRESIDENT, CEO)
(917) 557-3837
Entity
Organization
Contact information
Practice address
6 WESTON ST, HUNTINGTON STATION, NY 11746-4031
(917) 557-3837
(631) 752-1659
Mailing address
487 BALDWIN PATH, DEER PARK, NY 11729-1416
(917) 557-3837
(631) 752-1659
Taxonomy
Speciality
Code
Description
License number
State
171100000X
Acupuncturist
Primary
005605-1
NY
Other
Enumeration date
11/03/2016
Last updated
11/03/2016
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