Individual
MARY THERESA HART
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
L.AC.
Contact information
Practice address
53 8TH AVE, BROOKLYN, NY 11217-3912
(718) 622-3535
Mailing address
578 17TH ST APT 1F, BROOKLYN, NY 11218-1147
(917) 797-7445
Taxonomy
Speciality
Code
Description
License number
State
171100000X
Acupuncturist
Primary
003590
NY
Other
Enumeration date
04/29/2008
Last updated
04/29/2008
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