Individual
ANNA GRACE CRADDOCK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
L.AC.
Contact information
Practice address
607 W JERICHO TPKE, HUNTINGTON, NY 11743-6362
(631) 416-4940
Mailing address
607 W JERICHO TPKE, HUNTINGTON, NY 11743-6362
Taxonomy
Speciality
Code
Description
License number
State
171100000X
Acupuncturist
Primary
007097
NY
Other
Enumeration date
03/11/2022
Last updated
03/11/2022
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