Individual
MR. NICHOLAS VINCENT ISABELLA III
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
L.AC.
Contact information
Practice address
62 MAIN ST, SECOND FLOOR, TUCKAHOE, NY 10707-2904
(347) 610-9672
Mailing address
2421 42ND ST, ASTORIA, NY 11103-2803
Taxonomy
Speciality
Code
Description
License number
State
171100000X
Acupuncturist
Primary
003160
NY
Other
Enumeration date
10/09/2014
Last updated
11/20/2016
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