Individual
SUSAN LEE SHELDON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
R.D., M.S., L.AC.
Contact information
Practice address
6280 ROUTE 96, SUITE C, VICTOR, NY 14564-1408
(315) 246-8342
Mailing address
1663 BLACK BROOK ROAD, SENECA FALLS, NY 13148-9721
(315) 246-8342
Taxonomy
Speciality
Code
Description
License number
State
171100000X
Acupuncturist
Primary
003420
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
001144
DIETITIAN
NY
01
—
003420
ACUPUNCTURE
NY
Enumeration date
12/26/2007
Last updated
12/26/2007
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