Individual
MS. MARIA GORENS
Active
Individual
MS. MARIA GORENS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LAC
Taxonomy
Speciality
Code
Description
License number
State
171100000X
Acupuncturist
Primary
0009051
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
11521058
CAQH
NY
01
—
1968486
OXFORD
NY
Enumeration date
03/09/2007
Last updated
07/08/2007
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