Individual
MS. RITA SALLAH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LAC
Contact information
Practice address
375 MAIN ST, ISLIP, NY 11751-3542
(631) 446-1046
(631) 446-1300
Mailing address
211 HALSEY MANOR RD, MANORVILLE, NY 11949-1609
(691) 494-8173
Taxonomy
Speciality
Code
Description
License number
State
171100000X
Acupuncturist
Primary
005280-1
NY
Other
Enumeration date
07/31/2015
Last updated
07/31/2015
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