Individual
MS. HEIDI L. BOTNICK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
L.AC.
Contact information
Practice address
130 W 57TH ST APT 9E, NEW YORK, NY 10019-3311
(212) 489-8082
Mailing address
299 ADELPHI ST APT 312, BROOKLYN, NY 11205-4649
(917) 596-0912
Taxonomy
Speciality
Code
Description
License number
State
171100000X
Acupuncturist
Primary
029405
NY
Other
Enumeration date
02/06/2007
Last updated
07/08/2007
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