Individual
MICHELE LEIGH RECORE-BOLLAR
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LAC
Contact information
Practice address
19 W 21ST ST, SUITE 904, NEW YORK, NY 10010-6805
(212) 229-1220
Mailing address
3069 46TH ST, #2, ASTORIA, NY 11103-1847
Taxonomy
Speciality
Code
Description
License number
State
171100000X
Acupuncturist
Primary
003656
NY
Other
Enumeration date
10/01/2007
Last updated
10/01/2007
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