Individual
GISELI VIEIRA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
L.M.T
Contact information
Practice address
5 PARKRIDGE CIR, PORT JEFF STA, NY 11776-3414
(917) 239-6677
Mailing address
20 CHAMPLAIN ST, PORT JEFF STA, NY 11776-4435
(917) 239-6677
Taxonomy
Speciality
Code
Description
License number
State
171100000X
Acupuncturist
007333
NY
225700000X
Massage Therapist
Primary
023730-01
NY
Other
Enumeration date
10/17/2016
Last updated
05/24/2023
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