Individual
MRS. SHEILA A GORDON-DE MIRANDA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
L.AC.
Contact information
Practice address
195 E MAIN ST, HUNTINGTON, NY 11743-2957
(917) 617-6596
Mailing address
195 E MAIN ST, HUNTINGTON, NY 11743-2957
(917) 617-6596
Taxonomy
Speciality
Code
Description
License number
State
171100000X
Acupuncturist
Primary
002599
NY
Other
Enumeration date
06/22/2011
Last updated
12/09/2015
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