ESSENTIAL ENERGY ACUPUNCTURE, P.C.
Managed Care Organizations at Avenue Z, Brooklyn, NY

License number
New York 002725
Category
Managed Care Organizations
Type
Preferred Provider Organization
Owner
Name: RITA FAYDENGOLD LAC
Title: OWNER/ ACUPUNCTURE
Phone: (917) 312-7577
Address
Address
2409 Avenue Z, Brooklyn, NY 11235
National Provider ID: 1518331156
LicenseFiles verified this license of Nov 7, 2017 at the National Plan and Provider Enumeration System.

Organization information

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ESSENTIAL ENERGY ACUPUNCTURE, PC

Brooklyn, NY

Status:
Inactive
Industry:
Health Practitioner's Office
Registration:
Oct 5, 2005
Addresses:
415 Beverly Rd, Brooklyn, NY 11218 (Physical)
415 Beverley Rd, Brooklyn, NY 11218
State ID:
3265243
Business type:
DOMESTIC PROFESSIONAL CORPORATION
Chairman:
Rita Faydengold Chairman, inactive, 415 Beverly Rd, Brooklyn, NY 11218 (Physical)

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