Individual
GREGORY RADICONE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
L.AC
Contact information
Practice address
1010 SUNRISE HWY STE 1-1, ROCKVILLE CENTRE, NY 11570-5100
(516) 492-5351
Mailing address
52 RIDGEWOOD ST, VALLEY STREAM, NY 11580-2508
(516) 618-7167
Taxonomy
Speciality
Code
Description
License number
State
171100000X
Acupuncturist
Primary
25-005166
NY
Other
Enumeration date
10/22/2013
Last updated
04/12/2024
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