Individual
MS. AMANDA A MCGOWAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
L.AC.
Contact information
Practice address
49 E 78TH ST, SUITE 1A, NEW YORK, NY 10075-0211
(917) 863-8468
Mailing address
19 E 95TH ST, APT 4R, NEW YORK, NY 10128-0710
(212) 427-2097
Taxonomy
Speciality
Code
Description
License number
State
171100000X
Acupuncturist
Primary
4086
NY
Other
Enumeration date
02/23/2010
Last updated
02/23/2010
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