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General NPI Number Information
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NPI Number | 1679293591
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Entity Type | Organization
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Legal Business Name | METAL MONKEY ACUPUNCTURE PC
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Dates
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Enumeration Date | 08/31/2022
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Last Update Date | 11/09/2025
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Provider Practice Location Address
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Address Line | 22 LINCOLN PL
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City | GLEN COVE
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State | NY
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Zip | 11542-1949
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Country | US
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Telephone | 516-857-3723
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Fax | 516-674-9031
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Provider Business Mailing Address
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Address Line | 22 LINCOLN PL
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City | GLEN COVE
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State | NY
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Zip | 11542-1949
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Country | US
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Telephone | 516-857-3723
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Fax | 516-674-9031
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Authorized Official
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Title or Position | ACUPUNCTURIST
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Name | MR. GREGORY WILLIAM AGNEW
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Credential | L.AC, LMT
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Telephone | 516-857-3733
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 225700000X
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Taxonomy Name | Massage Therapist
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 171100000X
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Taxonomy Name | Acupuncturist
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License Number |
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License Number State |
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