Individual
MR. MARC RICHARD DE SANTIS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
L.AC.
Contact information
Practice address
6 OAK SPRING RD, WEST NYACK, NY 10994-1209
(917) 514-6815
Mailing address
6 OAK SPRING RD, WEST NYACK, NY 10994-1209
(917) 514-6815
Taxonomy
Speciality
Code
Description
License number
State
171100000X
Acupuncturist
Primary
005401
NY
Other
Enumeration date
09/18/2014
Last updated
02/27/2015
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