Individual
MARY GAGLIARDI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
L.AC.
Contact information
Practice address
19 W 21ST ST RM 904, NEW YORK, NY 10010-6851
(917) 370-7503
Mailing address
39 WILSON AVE APT 2F, BROOKLYN, NY 11237-2488
(917) 370-7503
Taxonomy
Speciality
Code
Description
License number
State
171100000X
Acupuncturist
Primary
006538-1
NY
Other
Enumeration date
06/30/2019
Last updated
06/30/2019
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