Individual
MS. SUSAN RISOLI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.S., L.AC.
Contact information
Practice address
349 S OCEAN AVE, PATCHOGUE, NY 11772-3724
(631) 793-2722
Mailing address
349 S OCEAN AVE, PATCHOGUE, NY 11772-3724
(631) 793-2722
Taxonomy
Speciality
Code
Description
License number
State
171100000X
Acupuncturist
Primary
002127-01
NY
Other
Enumeration date
08/16/2021
Last updated
08/16/2021
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