Individual
MRS. SAMANTHA LEE BURRIS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
L.AC.
Contact information
Practice address
66 E MARKET ST, CORNING, NY 14830-2709
(607) 346-2640
Mailing address
66 E MARKET ST, CORNING, NY 14830-2709
(607) 346-2640
Taxonomy
Speciality
Code
Description
License number
State
171100000X
Acupuncturist
Primary
006267
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
006267
PROFESSIONAL LICENSE
NY
Enumeration date
08/31/2018
Last updated
06/11/2019
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