Individual
DR. XIAODE MOU
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
23 TECHNOLOGY DR, SUITE 3, EAST SETAUKET, NY 11733-4075
(631) 246-6461
(631) 246-6461
Mailing address
125 TERRYVILLE RD, #1A, PORT JEFFERSON STATION, NY 11776-1300
(917) 648-6760
Taxonomy
Speciality
Code
Description
License number
State
171100000X
Acupuncturist
Primary
002038
NY
Other
Enumeration date
09/30/2007
Last updated
09/30/2007
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