Stacy Niessing

NPI #1104453901 in Brentwood, New York

Provider Information

NPI Number: 1104453901
Entity Type: Individual
Name: Stacy Niessing
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Acupuncturist
Enumeration Date: Mar 24, 2020
Last Updated: Mar 24, 2020

Practice Location

Address: 1646 BRENTWOOD RD
City: Brentwood
State: New York
ZIP Code: 11717-5534
Phone: (631) 231-5200

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Acupuncturist	171100000X	Primary

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