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Individual

MR. RALPH DOUGLAS ROBERTS

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
LAC.

Contact information

Practice address
39 W 14TH ST STE 201, NEW YORK, NY 10011-7406
(212) 691-5198
(212) 691-5198
Mailing address
39 W 14TH ST STE 201, NEW YORK, NY 10011-7406
(212) 691-5198
(212) 691-5198

Taxonomy

Speciality
Code
Description
License number
State
171100000X
Acupuncturist
Primary
000858-1
NY

Other

Enumeration date
01/22/2008
Last updated
01/22/2008
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