Crc 1111 INC

NPI #1720550189 in Beacon, New York

Provider Information

NPI Number: 1720550189
Entity Type: Organization
Organization Name: Crc 1111 INC
Primary Specialty: Acupuncturist
Enumeration Date: Dec 26, 2018
Last Updated: Dec 26, 2018

Practice Location

Address: 13 CROSS ST
City: Beacon
State: New York
ZIP Code: 12508-1802
Phone: (917) 941-8423

Authorized Official

Name: CATHERINE R CUSUMANO, M.S., L.AC.
Title: OWNER/ACUPUNCTURIST
Phone: (917) 941-8423

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Acupuncturist	171100000X	Primary

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