Individual
SAMANTHA KATE WALSH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
L.AC
Contact information
Practice address
9 STACEY LN, EAST NORTHPORT, NY 11731-2706
(631) 338-4607
Mailing address
9 STACEY LN, EAST NORTHPORT, NY 11731-2706
(631) 338-4607
Taxonomy
Speciality
Code
Description
License number
State
171100000X
Acupuncturist
Primary
007459
NY
Other
Enumeration date
01/30/2024
Last updated
01/30/2024
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