Individual
ELIZABETH HEATH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
330 MAIN ST, CORNWALL, NY 12518-1554
(845) 857-5700
Mailing address
330 MAIN ST, CORNWALL, NY 12518-1554
(845) 857-5700
Taxonomy
Speciality
Code
Description
License number
State
171100000X
Acupuncturist
Primary
005437
NY
Other
Enumeration date
12/08/2014
Last updated
12/08/2014
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