Individual
MARCIA SONG
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
L.AC.
Contact information
Practice address
19 W 21ST ST, SUITE 904, NEW YORK, NY 10010-6805
(347) 610-0072
Mailing address
223 COMMON ST, APT #11, QUINCY, MA 02169-4733
(347) 610-0072
Taxonomy
Speciality
Code
Description
License number
State
171100000X
Acupuncturist
Primary
005263
NY
Other
Enumeration date
11/06/2013
Last updated
02/21/2014
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