The M.o.g.
NPI #1427382738 in Grand Island, New York
Provider Information
- NPI Number
- 1427382738
- Entity Type
- Organization
- Organization Name
- The M.o.g.
- Primary Specialty
- Homeopath
- Enumeration Date
- Sep 21, 2009
- Last Updated
- Sep 21, 2009
Practice Location
- Address
- 1801 GRAND ISLAND BLVD
- City
- Grand Island
- State
- New York
- ZIP Code
- 14072-2171
- Phone
- (716) 773-1600
Authorized Official
- Name
- MR. RUSS CERTO, P.T.
- Title
- OWNER
- Phone
- (716) 773-1600
Specialties & Taxonomy Codes
| Specialty |
|---|
| Homeopath |
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