Individual
DANA GUASTELLA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
L.AC, LMT
Contact information
Practice address
64 UNION ST, MONTGOMERY, NY 12549-1021
(845) 457-1015
Mailing address
64 UNION ST, MONTGOMERY, NY 12549-1021
(845) 457-1015
Taxonomy
Speciality
Code
Description
License number
State
171100000X
Acupuncturist
Primary
004122-1
NY
174400000X
Specialist
017915-1
NY
Other
Enumeration date
03/06/2011
Last updated
03/06/2011
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