Organization
KATHRYN QUEEN
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KATHRYN QUEEN MS, LAC, LMT (ACUPUNCTURIST)
(347) 526-2275
Entity
Organization
Contact information
Practice address
57 W 57TH ST STE 602, NEW YORK, NY 10019-2802
(347) 526-2275
Mailing address
624 W 176TH ST APT 48, NEW YORK, NY 10033-7824
(347) 526-2275
Taxonomy
Speciality
Code
Description
License number
State
171100000X
Acupuncturist
Primary
5385
NY
Other
Enumeration date
12/11/2017
Last updated
12/11/2017
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