Individual
SHIRLEY ISME
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
L.AC
Contact information
Practice address
6 WESTON ST, HUNTINGTON STATION, NY 11746-4031
(917) 557-3837
(631) 753-1659
Mailing address
487 BALDWINS PATH, DEER PARK, NY 11729
(917) 557-3837
(631) 752-1659
Taxonomy
Speciality
Code
Description
License number
State
171100000X
Acupuncturist
Primary
005605-1
NY
Other
Enumeration date
07/16/2015
Last updated
09/14/2016
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