Individual
EILEEN MARIE COLE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LICENSED ACUPUNCTURE
Contact information
Practice address
526 TYSENS LANE, STATEN ISLAND, NY 10306
(718) 351-8217
Mailing address
526 TYSENS LANE, STATEN ISLAND, NY 10306
(718) 351-8217
Taxonomy
Speciality
Code
Description
License number
State
171100000X
Acupuncturist
Primary
006955-1
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
006955-1
ACUPUNCTURE
NY
Enumeration date
08/24/2021
Last updated
08/24/2021
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