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Individual

DIXU GAO

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
L.AC.

Contact information

Practice address
251 FT WASHINGTON AVE, STE 1, NEW YORK, NY 10032-1248
(212) 927-8039
Mailing address
251 FT WASHINGTON AVE, STE 1, NEW YORK, NY 10032-1248
(212) 927-8039

Taxonomy

Speciality
Code
Description
License number
State
171100000X
Acupuncturist
Primary
001538
NY

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
001538
STATE LICENSE - ACUPUNCTURE
NY
Enumeration date
05/27/2014
Last updated
05/27/2014
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