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Individual

MR. THEODORE HENIGSON

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
M.S.,L.AC.

Contact information

Practice address
912 PRESIDENT ST FL 3, BROOKLYN, NY 11215-1604
(845) 475-8375
Mailing address
912 PRESIDENT ST FL 3, BROOKLYN, NY 11215-1604
(845) 475-8375

Taxonomy

Speciality
Code
Description
License number
State
171100000X
Acupuncturist
Primary
004132-1
NY

Other

Enumeration date
06/27/2010
Last updated
06/27/2010
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