Individual
LIDA AHMADY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LAC
Contact information
Practice address
594 BROADWAY, SUITE 905, NEW YORK, NY 10012-3289
(212) 219-9536
Mailing address
594 BROADWAY, SUITE 905, NEW YORK, NY 10012-3289
Taxonomy
Speciality
Code
Description
License number
State
171100000X
Acupuncturist
Primary
002178
NY
Other
Enumeration date
03/01/2012
Last updated
03/01/2012
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