Individual
GELENI FONTAINE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
L AC.
Contact information
Practice address
380 MARLBOROUGH RD, BROOKLYN, NY 11226-5618
(718) 940-9343
Mailing address
537 8TH ST, APT A1, BROOKLYN, NY 11215-6916
(718) 940-9343
Taxonomy
Speciality
Code
Description
License number
State
171100000X
Acupuncturist
Primary
004096
NY
Other
Enumeration date
01/09/2016
Last updated
01/09/2016
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