East Side Acupuncture

NPI #1740638139 in Fayetteville, New York

Provider Information

NPI Number: 1740638139
Entity Type: Organization
Organization Name: East Side Acupuncture
Primary Specialty: Acupuncturist
Enumeration Date: May 26, 2016
Last Updated: May 26, 2016

Practice Location

Address: 7211 E GENESEE ST
City: Fayetteville
State: New York
ZIP Code: 13066-1262
Phone: (315) 569-6579

Authorized Official

Name: MR. CASEY LEWIS, LAC
Title: ACUPUNCTURIST
Phone: (315) 569-6579

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Acupuncturist	171100000X	Primary

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