# MS. EILEEN M EGAN-RUSSO

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- **Entity:** Individual
- **Status:** Active
- **Sole proprietor:** No

## Provider details

- **NPI number:** 1073668646
- **Gender:** F
- **Credential:** L.A.C., L.M.T

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 171100000X | Acupuncturist | 006611-01 | NY | — |
| 171100000X | Acupuncturist | 25MZ00142400 | NJ | Yes |
| 174400000X | Specialist | 013178 | NY | — |

## Other

- **Enumeration date:** 01/24/2007
- **Last updated:** 06/26/2020