Organization
LIVE WELL ACUPUNCTURE P. C.
Active
Organization
LIVE WELL ACUPUNCTURE P. C.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MARIA GILANY TOM L. AC. (PRESIDENT)
(718) 440-1189
Entity
Organization
Contact information
Practice address
4011 59TH ST, WOODSIDE, NY 11377-4837
(718) 440-1189
Mailing address
4011 59TH ST, WOODSIDE, NY 11377-4837
Taxonomy
Speciality
Code
Description
License number
State
171100000X
Acupuncturist
Primary
003439
NY
Other
Enumeration date
05/02/2008
Last updated
05/21/2008
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