Individual
LILIANA WALEWSKA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LAC
Contact information
Practice address
47 N MAIN ST, ELLENVILLE, NY 12428-1085
(917) 599-3324
Mailing address
351 GREENVILLE RD, SUNDOWN, NY 12740
(917) 599-3324
Taxonomy
Speciality
Code
Description
License number
State
171100000X
Acupuncturist
Primary
006545-1
NY
Other
Enumeration date
08/10/2020
Last updated
08/10/2020
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