Individual
MARY DEMINIE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
L.AC.
Contact information
Practice address
650 BROADWAY FL 4, NEW YORK, NY 10012-2315
(847) 942-0965
Mailing address
100 WOODRUFF AVE, BROOKLYN, NY 11226-1276
(847) 942-0965
(847) 942-0965
Taxonomy
Speciality
Code
Description
License number
State
171100000X
Acupuncturist
Primary
006104-1
NY
Other
Enumeration date
02/05/2018
Last updated
02/05/2018
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