Individual
MISTY KAMMARADA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LAC, MSTOM
Contact information
Practice address
581 5TH AVE, SUITE 1, BROOKLYN, NY 11215-8407
(718) 965-0555
Mailing address
29 N LAKESIDE AVE, JACKSON, NJ 08527-2747
(732) 859-6957
Taxonomy
Speciality
Code
Description
License number
State
171100000X
Acupuncturist
Primary
004629
NY
Other
Enumeration date
07/18/2011
Last updated
07/18/2011
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