Individual
MR. JOHN HAYNES DITMARS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LAC
Contact information
Practice address
363 BONE HOLLOW RD, ACCORD, NY 12404-5340
(845) 663-3543
Mailing address
363 BONE HOLLOW RD, ACCORD, NY 12404-5340
(845) 663-3543
Taxonomy
Speciality
Code
Description
License number
State
171100000X
Acupuncturist
Primary
005379-1
NY
Other
Enumeration date
09/19/2014
Last updated
09/19/2014
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