Individual
AILEEN MOY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
L.AC., L.M.T.
Contact information
Practice address
12 W 27TH ST FL 9, NEW YORK, NY 10001-6903
(614) 256-9984
Mailing address
3620 23RD AVE FL 1, ASTORIA, NY 11105-1917
(614) 256-9984
Taxonomy
Speciality
Code
Description
License number
State
171100000X
Acupuncturist
Primary
004356-1
NY
225700000X
Massage Therapist
024261-1
NY
Other
Enumeration date
01/20/2011
Last updated
01/20/2011
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