Individual
RENI FAIRMAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
L.AC
Contact information
Practice address
33 WILLIAM ST STE 8A, AUBURN, NY 13021-3730
(315) 246-0177
Mailing address
123 N HOOPES AVE, AUBURN, NY 13021-2905
(315) 246-0177
Taxonomy
Speciality
Code
Description
License number
State
171100000X
Acupuncturist
Primary
005761
NY
Other
Enumeration date
08/31/2016
Last updated
12/12/2023
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