Individual
MS. ELIZABETH MICHELLE MARTIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
L.AC., LMT
Contact information
Practice address
1239 N COUNTRY RD, SUITE 1D, STONY BROOK, NY 11790-1934
(631) 601-6491
Mailing address
1239 N COUNTRY RD, STE 3, STONY BROOK, NY 11790-1920
(631) 601-6491
Taxonomy
Speciality
Code
Description
License number
State
171100000X
Acupuncturist
00514901
NY
171100000X
Acupuncturist
Primary
25005149
NY
225700000X
Massage Therapist
27027004
NY
Other
Enumeration date
01/23/2013
Last updated
12/30/2020
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