Individual
KAYLA ROSE BENABURGER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
L.AC
Contact information
Practice address
248 MIDDLE COUNTRY RD STE 17, SELDEN, NY 11784-2583
(631) 846-1661
(631) 880-7117
Mailing address
PO BOX 2785, SETAUKET, NY 11733-0858
(631) 742-8840
(631) 880-7117
Taxonomy
Speciality
Code
Description
License number
State
171100000X
Acupuncturist
Primary
006908
NY
Other
Enumeration date
04/12/2021
Last updated
04/12/2021
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