Individual
STACEY SIMONE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
DIPL. AC., L.AC.
Contact information
Practice address
277 INDIAN HEAD RD, UNIT A, KINGS PARK, NY 11754-4810
(631) 766-2350
Mailing address
277 INDIAN HEAD RD, UNIT A, KINGS PARK, NY 11754-4810
(631) 766-2350
Taxonomy
Speciality
Code
Description
License number
State
171100000X
Acupuncturist
Primary
004924
NY
Other
Enumeration date
09/20/2012
Last updated
09/20/2012
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