Individual
MADELINE SARA MINDICH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LAC.
Contact information
Practice address
31 BAY AVE, SEA CLIFF, NY 11579-1039
(516) 383-2644
Mailing address
31 BAY AVE, SEA CLIFF, NY 11579-1039
(516) 383-2644
Taxonomy
Speciality
Code
Description
License number
State
171100000X
Acupuncturist
Primary
006164
NY
Other
Enumeration date
01/23/2018
Last updated
01/23/2018
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