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Individual

MS. CONNIE QIAN

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
L.AC.

Contact information

Practice address
88 BLEECKER ST APT 3M, NEW YORK, NY 10012-1515
(646) 283-2202
Mailing address
88 BLEECKER ST APT 3M, NEW YORK, NY 10012-1515
(646) 283-2202

Taxonomy

Speciality
Code
Description
License number
State
171100000X
Acupuncturist
Primary
005994
NY

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
005994
LICENSED ACUPUNCTURE
NY
Enumeration date
07/11/2017
Last updated
07/21/2022
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