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Individual

MR. RYAN WHELAN

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
M.S., L.AC, L.M.T

Contact information

Practice address
8940 86TH ST, WOODHAVEN, NY 11421-2507
(631) 891-5264
Mailing address
8940 86TH ST, WOODHAVEN, NY 11421-2507
(631) 891-5264

Taxonomy

Speciality
Code
Description
License number
State
171100000X
Acupuncturist
Primary
005965
NY

Other

Enumeration date
12/27/2018
Last updated
12/27/2018
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