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Organization

AMALIA HADDAD LICENSED ACUPUNCTURIST, PC

Active
Parent organization
AMALIA HADDAD LICENSED ACUPUNCTURIST, PC
Organization subpart
Yes

Provider details

NPI number
Legal business name
AMALIA HADDAD LICENSED ACUPUNCTURIST, PC
Authorized official
AMALIA HADDAD L.AC. (ACUPUNCTURIST)
(646) 322-0526
Entity
Organization

Contact information

Practice address
25 GETTYSBURG DR, PORT JEFFERSON STATION, NY 11776-8034
(646) 322-0526
Mailing address
25 GETTYSBURG DR, PORT JEFFERSON STATION, NY 11776-8034
(646) 322-0526

Taxonomy

Speciality
Code
Description
License number
State
171100000X
Acupuncturist
Primary
1101
NY

Other

Enumeration date
04/28/2017
Last updated
04/28/2017
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