Individual
RENEE BETH RUGGIERO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LAC
Contact information
Practice address
4 JOSEPHINE LN, EAST ISLIP, NY 11730-3104
(631) 678-3294
Mailing address
4 JOSEPHINE LN, EAST ISLIP, NY 11730-3104
Taxonomy
Speciality
Code
Description
License number
State
171100000X
Acupuncturist
Primary
006922
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
006922
LICENSE NUMBER
NY
Enumeration date
06/04/2021
Last updated
06/04/2021
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