Individual
ASHLEY ELIZABETH TEAGUE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
L.AC
Contact information
Practice address
1850 ROUTE 112 STE M, CORAM, NY 11727-2232
(631) 629-5433
Mailing address
1850 ROUTE 112 STE M, CORAM, NY 11727-2232
Taxonomy
Speciality
Code
Description
License number
State
171100000X
Acupuncturist
Primary
005046
NY
Other
Enumeration date
09/12/2013
Last updated
02/03/2015
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