Individual
AZALEA DANILESON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LAC
Contact information
Practice address
166 E JERICHO TPKE, MINEOLA, NY 11501-2098
(516) 294-7204
(516) 294-2734
Mailing address
166 E JERICHO TPKE, MINEOLA, NY 11501-2098
(516) 294-7204
(516) 294-2734
Taxonomy
Speciality
Code
Description
License number
State
171100000X
Acupuncturist
Primary
0024191
NY
Other
Enumeration date
03/20/2013
Last updated
03/20/2013
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