| Moon Acupuncture, Pc | |
|
932 Suffolk Ave Brentwood NY 11717-4502 | |
| (631) 524-5224 | |
| Not Available |
| Full Name | Moon Acupuncture, Pc |
|---|---|
| Speciality | Clinic/center |
| Location | 932 Suffolk Ave, Brentwood, New York |
| Authorized Official Name and Position | Randy Mun Gonzales (PRESIDENT) |
| Authorized Official Contact | 6318757200 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Moon Acupuncture, Pc 820 Suffolk Avenue Suite 201 Brentwood NY 11717-5132 Ph: (631) 875-7200 | Moon Acupuncture, Pc 932 Suffolk Ave Brentwood NY 11717-4502 Ph: (631) 524-5224 |
| NPI Number | 1780016790 |
|---|---|
| Provider Enumeration Date | 07/31/2013 |
| Last Update Date | 09/07/2016 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1780016790 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261Q00000X | Clinic/center | (* (Not Available)) | Primary |
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