Individual
TERESA GOETZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
22 WASHINGTON AVENUE, MILLBROOK, NY 12545
(917) 626-6861
Mailing address
574 CARSON RD, MILLERTON, NY 12546-5306
(917) 626-6861
Taxonomy
Speciality
Code
Description
License number
State
171100000X
Acupuncturist
Primary
001797
NY
Other
Enumeration date
05/31/2016
Last updated
05/31/2016
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