Individual
MR. FABIO MURILLO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LAC
Contact information
Practice address
70 GLEN ST STE 380, GLEN COVE, NY 11542-2858
(516) 852-1821
Mailing address
15 CANDY LN, SYOSSET, NY 11791-4909
(516) 852-1821
Taxonomy
Speciality
Code
Description
License number
State
171100000X
Acupuncturist
Primary
005474
NY
Other
Enumeration date
07/23/2017
Last updated
07/23/2017
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