Individual
SHANNON M MCCARTHY DICARLO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
R.N, LAC
Contact information
Practice address
538 E 89TH ST, APT 2E, NEW YORK, NY 10128-7875
(646) 422-9199
Mailing address
538 E 89TH ST, APT 2E, NEW YORK, NY 10128-7875
Taxonomy
Speciality
Code
Description
License number
State
171100000X
Acupuncturist
Primary
004822
NY
Other
Enumeration date
06/04/2012
Last updated
06/04/2012
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