Individual
MS. ATHENA NICKAS NASTASI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LAC
Contact information
Practice address
8 PRIVATE RD, BAYVILLE, NY 11709-1124
(517) 779-7521
Mailing address
8 PRIVATE RD, BAYVILLE, NY 11709-1124
(517) 779-7521
Taxonomy
Speciality
Code
Description
License number
State
171100000X
Acupuncturist
Primary
004845
NY
Other
Enumeration date
01/09/2013
Last updated
01/09/2013
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