Sacred Space Acupuncture INC

NPI #1225461023 in Nyack, New York

Provider Information

NPI Number: 1225461023
Entity Type: Organization
Organization Name: Sacred Space Acupuncture INC
Primary Specialty: Acupuncturist
Enumeration Date: Aug 15, 2013
Last Updated: Aug 15, 2013

Practice Location

Address: 97 S BROADWAY
City: Nyack
State: New York
ZIP Code: 10960-4434
Phone: (347) 886-9695

Authorized Official

Name: MS. DEBORAH HILDERLEY
Title: BILLING REPRESENTATIVE
Phone: (352) 683-3855

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Physical Therapist	225100000X
Acupuncturist	171100000X	Primary

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