Individual
MRS. AMANDA RAE THOMPSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
L. AC.
Contact information
Practice address
139 FULTON ST RM 208, NEW YORK, NY 10038-2538
(212) 513-0437
Mailing address
2346 31ST DR # 1F, ASTORIA, NY 11106-4137
(727) 418-4696
Taxonomy
Speciality
Code
Description
License number
State
171100000X
Acupuncturist
Primary
6584
NY
Other
Enumeration date
12/18/2019
Last updated
12/18/2019
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