Individual
LILY GILLESPIE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
928 BROADWAY STE 303, NEW YORK, NY 10010-8155
(917) 929-4457
Mailing address
7453 RIVERSIDE STATION BLVD, SECAUCUS, NJ 07094-4458
Taxonomy
Speciality
Code
Description
License number
State
171100000X
Acupuncturist
Primary
005406
NY
Other
Enumeration date
10/05/2014
Last updated
10/05/2014
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