Individual
MR. JONATHAN ESTRADA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LAC
Contact information
Practice address
1633 CORNELIA ST, LOWER LEVEL, RIDGEWOOD, NY 11385-4729
(347) 907-2968
(718) 821-5619
Mailing address
1633 CORNELIA STREET, LOWER LEVEL, RIDGEWOOD, NY 11385-4729
(347) 907-2968
(718) 821-5619
Taxonomy
Speciality
Code
Description
License number
State
171100000X
Acupuncturist
Primary
004129
NY
Other
Enumeration date
07/09/2010
Last updated
07/09/2010
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