Individual
MS. MARIA R. ANTONOPOULOS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LIC. ACUP.
Contact information
Practice address
538 WESTBURY AVE, CARLE PLACE, NY 11514-1747
(516) 395-0966
Mailing address
559 ROSE BLVD, NORTH BALDWIN, NY 11510-1042
(516) 395-0966
Taxonomy
Speciality
Code
Description
License number
State
171100000X
Acupuncturist
Primary
0025361
NY
Other
Enumeration date
03/18/2007
Last updated
07/08/2007
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