Individual
MS. KIMBERLY M SPATAFORA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
L.AC
Contact information
Practice address
53345 MAIN RD STE 6-1, SOUTHOLD, NY 11971-4643
(643) 765-2100
Mailing address
403 15TH ST, WEST BABYLON, NY 11704-2607
(631) 428-8413
Taxonomy
Speciality
Code
Description
License number
State
171100000X
Acupuncturist
Primary
006506
NY
Other
Enumeration date
03/27/2019
Last updated
03/27/2019
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