Individual
SANDRA ROOT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
L.AC.
Contact information
Practice address
483 PARK PL APT 1R, BROOKLYN, NY 11238-4667
(917) 538-8019
Mailing address
483 PARK PL APT 1R, BROOKLYN, NY 11238-4667
Taxonomy
Speciality
Code
Description
License number
State
171100000X
Acupuncturist
Primary
004193
NY
Other
Enumeration date
10/27/2009
Last updated
10/27/2009
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