Individual
SEBASTIAN INCAO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LA.C
Contact information
Practice address
302 WARREN ST, HUDSON, NY 12534-2419
(518) 334-0777
Mailing address
767 GAHBAUER RD, HUDSON, NY 12534-9164
Taxonomy
Speciality
Code
Description
License number
State
171100000X
Acupuncturist
Primary
004097-1
NY
Other
Enumeration date
11/04/2013
Last updated
11/04/2013
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