Individual
MR. BRIAN CAMPO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LAC DIPL OM NCCAOM
Contact information
Practice address
213 15 33RD ROAD, BAYSIDE, NY 11361
(718) 229-4578
(718) 229-4983
Mailing address
23 50 WATERS EDGE DRIVE, APT 5J, BAYSIDE, NY 11360
(718) 352-0698
(718) 229-4983
Taxonomy
Speciality
Code
Description
License number
State
171100000X
Acupuncturist
Primary
002729
NY
Other
Enumeration date
12/05/2006
Last updated
07/08/2007
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