Individual
SUPRIYA DESAI LAY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
L.AC.
Contact information
Practice address
61A 9TH STREET, SUITE 5, BROOKLYN, NY 11215
(215) 499-1956
Mailing address
575 10TH ST APT 2, BROOKLYN, NY 11215-4401
(215) 499-1956
Taxonomy
Speciality
Code
Description
License number
State
171100000X
Acupuncturist
Primary
005899-1
NY
171100000X
Acupuncturist
2014001031
MO
Other
Enumeration date
10/22/2014
Last updated
12/06/2018
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