Individual
DIANE FAY CARRK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
ACUPUNCTURIST
Contact information
Practice address
288 MAIN ST, MIDDLEBURGH, NY 12122-6519
(518) 810-5224
Mailing address
288 MAIN ST STE 5, MIDDLEBURGH, NY 12122-6519
(518) 810-5224
Taxonomy
Speciality
Code
Description
License number
State
171100000X
Acupuncturist
Primary
007223
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
843850215
—
NY
Enumeration date
12/26/2022
Last updated
12/26/2022
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