Individual
JEANINE MARTIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
L.AC
Contact information
Practice address
29 BARSTOW RD STE 302, GREAT NECK, NY 11021-2209
(516) 288-5333
Mailing address
29 BARSTOW RD STE 302, GREAT NECK, NY 11021-2209
(516) 288-5333
Taxonomy
Speciality
Code
Description
License number
State
171100000X
Acupuncturist
Primary
004659
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
004659
LICENSE
NY
01
—
1902143167
NPI
NY
01
—
1924773
REGISTRATION CERTIFICATE
NY
Enumeration date
01/08/2013
Last updated
02/04/2025
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