Individual
A CHO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
11 DIVISION AVE, NYACK, NY 10960-4405
(201) 805-0568
Mailing address
100 GRAND AVE, LEONIA, NJ 07605-2006
(201) 805-0568
Taxonomy
Speciality
Code
Description
License number
State
171100000X
Acupuncturist
Primary
007339
NY
Other
Enumeration date
06/30/2023
Last updated
06/30/2023
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