Individual
MRS. HEATHER I ROSS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LAC
Contact information
Practice address
11 GEORGANN RD, MANORVILLE, NY 11949-3224
(631) 875-3489
Mailing address
11 GEORGANN RD, MANORVILLE, NY 11949-3224
(631) 875-3489
Taxonomy
Speciality
Code
Description
License number
State
171100000X
Acupuncturist
Primary
25-003674
NY
Other
Enumeration date
05/11/2013
Last updated
05/11/2013
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