Individual
MR. STORM MORALES
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
L.AC
Contact information
Practice address
1 COUNTRY CLUB DR, APT 1E, CORAM, NY 11727-3405
(631) 880-2336
Mailing address
1 COUNTRY CLUB DRIVE, APT 1E, CORAM, NY 11727
(631) 880-2336
Taxonomy
Speciality
Code
Description
License number
State
171100000X
Acupuncturist
Primary
004002
NY
Other
Enumeration date
01/26/2009
Last updated
01/26/2009
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