Individual
MEGAN A RICHARDSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
DIPPL AC,MS, LAC,ATC
Contact information
Practice address
80 8TH AVE, SUITE 1304, NEW YORK, NY 10011-5126
(516) 983-4940
Mailing address
4601 39TH AVE, #605, SUNNYSIDE, NY 11104-1455
(516) 983-4940
Taxonomy
Speciality
Code
Description
License number
State
171100000X
Acupuncturist
Primary
005349-1
NY
2255A2300X
Athletic Trainer
000853
NY
Other
Enumeration date
03/02/2006
Last updated
01/19/2016
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