Individual
MARISA NIEDERAUER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
L.AC
Contact information
Practice address
53 WADSWORTH AVE, LEVITTOWN, NY 11756-5729
(516) 351-0002
Mailing address
53 WADSWORTH AVE, LEVITTOWN, NY 11756-5729
Taxonomy
Speciality
Code
Description
License number
State
171100000X
Acupuncturist
Primary
007093
NY
Other
Enumeration date
04/15/2022
Last updated
04/15/2022
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