Individual
DANA MOORE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
L. AC.
Contact information
Practice address
790 CONCOURSE VLG W, #21A, BRONX, NY 10451-3804
(347) 546-3013
Mailing address
790 CONCOURSE VLG W, #21A, BRONX, NY 10451-3804
Taxonomy
Speciality
Code
Description
License number
State
171100000X
Acupuncturist
Primary
004333
NY
Other
Enumeration date
05/20/2015
Last updated
05/20/2015
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