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Individual

MS. MARIA GORENS

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
LAC

Contact information

Practice address
91 CENTRAL PARK WEST, NEW YORK, NY 10023
(212) 580-7750
(212) 874-8034
Mailing address
91 CENTRAL PARK WEST, NEW YORK, NY 10023
(212) 580-7750
(212) 874-8034

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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