Individual
SUSAN WALLMEYER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
L.AC.
Contact information
Practice address
130 E 40TH ST SUITE 1205, NEW YORK, NY 10016
(917) 575-0293
Mailing address
324 E 13TH ST APT 15, NEW YORK, NY 10003-5674
Taxonomy
Speciality
Code
Description
License number
State
171100000X
Acupuncturist
Primary
004108-1
NY
Other
Enumeration date
02/05/2010
Last updated
02/05/2010
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