ONE MOON INC NPI 1689192429

NPI Information

  • NPI: 1689192429
  • Provider Name: ONE MOON INC
  • Classification: Acupuncturist - 171100000X
  • Entity Type: Organization
  • Doing Business As: VITA WHOLE BODY CARE
  • Address: 750 ROUTE 25A
    EAST SETAUKET, NY
    ZIP 11733
  • Phone: (631) 364-9075

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NPI Details

ONE MOON INC is an acupuncturist in East Setauket, NY. The provider is an acupuncturist is a person who performs ancient therapy for alleviation of pain, anesthesia and treatment of some diseases. Acupuncturists use long, fine needles inserted into specific points in order to treat painful conditions or produce anesthesia. ONE MOON INC NPI is 1689192429. The provider is registered as an organization entity type and is a single specialty group.
The provider Is Doing Business As Vita Whole Body Care.

The provider's business location address is:

750 ROUTE 25A
EAST SETAUKET, NY
ZIP 11733-239
Phone: (631) 364-9075

The provider's authorized official is Randy M Gonzales .
The authorized official title is Acupuncturist and has the following contact phone number (631) 875-7200.

The enumeration date for this NPI number is 8/31/2017 and was last updated on 6/16/2018.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1171100000XAcupuncturistYes

What is NPI?

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This page was last updated on: 3/30/2025

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