Individual
MR. MARC-ELLIOT MASTRANDREA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
L.AC.
Contact information
Practice address
2366 28TH ST, APT 2, ASTORIA, NY 11105-2802
(917) 536-6126
Mailing address
2366 28TH ST, APT 2, ASTORIA, NY 11105-2802
(917) 536-6126
Taxonomy
Speciality
Code
Description
License number
State
171100000X
Acupuncturist
Primary
000532
CT
171100000X
Acupuncturist
4600
NY
Other
Enumeration date
10/15/2012
Last updated
10/15/2012
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