Individual
GABRIELLE WILSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
40 HILLCREST ST, HUNTINGTON, NY 11743-3425
(631) 223-6165
Mailing address
PO BOX 1554, COMMACK, NY 11725-0949
(631) 223-6165
Taxonomy
Speciality
Code
Description
License number
State
171100000X
Acupuncturist
Primary
006727
NY
Other
Enumeration date
06/03/2020
Last updated
06/03/2020
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