Individual
MISS GRETCHEN ALICE EIGENBROD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LIC.AC
Contact information
Practice address
14 OLD HILLS LN, GREENLAWN, NY 11740
(631) 261-9299
Mailing address
14 OLD HILLS LN, GREENLAWN, NY 11740-1013
(631) 261-9299
Taxonomy
Speciality
Code
Description
License number
State
171100000X
Acupuncturist
Primary
216133
MA
Other
Enumeration date
07/08/2010
Last updated
07/08/2010
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