Individual
MRS. NANCIE E, FORREST
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
L.AC.
Contact information
Practice address
137 WATERSIDE AVE, NORTHPORT, NY 11768-2154
(631) 754-4325
Mailing address
137 WATERSIDE AVE, NORTHPORT, NY 11768-2154
(631) 754-4325
Taxonomy
Speciality
Code
Description
License number
State
171100000X
Acupuncturist
Primary
003211
NY
Other
Enumeration date
03/09/2009
Last updated
03/09/2009
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