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Individual

CONNIE LYNN MA

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
LAC, MSTOM

Contact information

Practice address
1 PARK AVE, NEW YORK, NY 10016-5802
(917) 517-8220
Mailing address
111 HICKS ST, APT 17M, BROOKLYN, NY 11201-1658
(917) 517-8220

Taxonomy

Speciality
Code
Description
License number
State
171100000X
Acupuncturist
Primary
004749-1
NY

Other

Enumeration date
01/19/2012
Last updated
10/31/2012
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