Individual
MADELAINE STAGER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
L.AC.
Contact information
Practice address
22 W 21ST ST STE 406, NEW YORK, NY 10010-6904
(303) 709-5125
Mailing address
3162 42ND ST, ASTORIA, NY 11103-3101
(303) 709-5125
Taxonomy
Speciality
Code
Description
License number
State
171100000X
Acupuncturist
Primary
004932
NY
Other
Enumeration date
12/08/2012
Last updated
12/08/2012
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