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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