Stacey Simone, DIPL. AC., L.AC.

NPI #1235480039 in Kings Park, New York

Provider Information

NPI Number: 1235480039
Entity Type: Individual
Name: Stacey Simone, DIPL. AC., L.AC.
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Acupuncturist
Credential: DIPL. AC., L.AC.
Enumeration Date: Sep 20, 2012
Last Updated: Sep 20, 2012

Practice Location

Address: 277 INDIAN HEAD RD
Address 2: UNIT A
City: Kings Park
State: New York
ZIP Code: 11754-4810
Phone: (631) 766-2350

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Acupuncturist	171100000X	Primary

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