Individual
MICHELLE HENNEMEIER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
L.AC,L.M.T
Contact information
Practice address
83 E MAIN ST, PATCHOGUE, NY 11772-3161
(631) 988-4132
Mailing address
83 E MAIN ST, PATCHOGUE, NY 11772-3161
Taxonomy
Speciality
Code
Description
License number
State
171100000X
Acupuncturist
Primary
25 004913
NY
Other
Enumeration date
02/07/2015
Last updated
02/07/2015
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