Individual
MS. SIMONE SONIA DECLERCQ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
L.AC.
Contact information
Practice address
240 CENTRAL PARK S, SUITE 2P, NEW YORK, NY 10019-1457
(347) 754-9763
Mailing address
12112 103RD AVE, SOUTH RICHMOND HILL, NY 11419-2120
(347) 754-9763
Taxonomy
Speciality
Code
Description
License number
State
171100000X
Acupuncturist
Primary
003098
NY
Other
Enumeration date
08/16/2007
Last updated
08/16/2007
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