Individual
AMY PATER PODHURST
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LAC
Contact information
Practice address
24 ALDRICH ST, HUNTINGTON STATION, NY 11746-2834
(516) 238-0278
Mailing address
24 ALDRICH ST, HUNTINGTON STATION, NY 11746-2834
(516) 238-0278
Taxonomy
Speciality
Code
Description
License number
State
171100000X
Acupuncturist
Primary
4423
NY
Other
Enumeration date
09/23/2010
Last updated
05/09/2011
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