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Individual

DR. NICOLE ANDRUS

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
DAOM, L.AC.

Contact information

Practice address
135 DELAWARE AVE, BUFFALO, NY 14202-2416
(716) 218-9338
Mailing address
149 SWAN ST UNIT 103, BUFFALO, NY 14203-2624
(614) 218-1363

Taxonomy

Speciality
Code
Description
License number
State
171100000X
Acupuncturist
Primary
006927
NY
171100000X
Acupuncturist
198.001041
IL
171100000X
Acupuncturist
25MZ00112000
NJ
171100000X
Acupuncturist
65.000301
OH

Other

Enumeration date
01/17/2013
Last updated
04/27/2021
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