Individual
NICHOLE M TATEM
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
L.AC.,DIPLAC.
Contact information
Practice address
285 FLATBUSH AVE, BROOKLYN, NY 11217-2821
(718) 636-6200
Mailing address
285 FLATBUSH AVE, BROOKLYN, NY 11217-2821
(718) 636-6200
Taxonomy
Speciality
Code
Description
License number
State
171100000X
Acupuncturist
Primary
003692-1
NY
Other
Enumeration date
01/21/2009
Last updated
01/21/2009
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