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Individual

MARCY GORDON

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
L.AC.

Contact information

Practice address
928 BROADWAY, SUITE 1104, NEW YORK, NY 10010-6008
(203) 962-8916
Mailing address
3172 31ST ST, APT 5F, ASTORIA, NY 11106-2581
(203) 962-8916

Taxonomy

Speciality
Code
Description
License number
State
171100000X
Acupuncturist
Primary
005402
NY

Other

Enumeration date
10/06/2014
Last updated
10/06/2014
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