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Individual

MS. MAGNOLIA L GOH

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
AC

Contact information

Practice address
250 W 57 STREET,, #629, NEW YORK, NY 10107
(212) 258-5622
Mailing address
250 W 57 STREET,, #629, NEW YORK, NY 10107
(212) 258-5622

Taxonomy

Speciality
Code
Description
License number
State
171100000X
Acupuncturist
Primary
000146
NY

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
00246075
NY
Enumeration date
09/23/2006
Last updated
07/08/2007
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