ACUPUNCTURE PAIN MANAGEMENT PC
Acupuncture at Jericho Tpke, Muttontown, NY

License number
New York 00166901
Category
Acupuncture
Type
Acupuncturist
Owner
Name: MRS. SHAHLA GHAZALI
Title: ACUPUNCTURIST
Phone: (516) 922-1869
Address
Address
15 Jericho Tpke, Muttontown, NY 11753
National Provider ID: 1699971135
LicenseFiles verified this license of Nov 7, 2017 at the National Plan and Provider Enumeration System.

Organization information

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ACUPUNCTURE PAIN MANAGEMENT PC

Muttontown, NY

Status:
Inactive
Industry:
Management Services
Registration:
Aug 30, 2001
Addresses:
866 Hts Pl, Oyster Bay, NY 11771 (Physical)
15 Jericho Tpke, Jericho, NY 11753 (Physical)
State ID:
2676388
Business type:
DOMESTIC PROFESSIONAL CORPORATION
Acupuncture, Principals:
Shahla Ghazali L.ac, 866 Hts Pl, Oyster Bay, NY 11771 (Physical),Shahla Ghazali Acupuncture, Principal, inactive

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