MS. Stacy Moon, L.AC OSOM

NPI #1306264718 in Whitestone, New York

Provider Information

NPI Number: 1306264718
Entity Type: Individual
Name: MS. Stacy Moon, L.AC OSOM
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Acupuncturist
Credential: L.AC OSOM
Enumeration Date: Apr 2, 2014
Last Updated: Apr 2, 2014

Practice Location

Address: 149-15 25 AVE #1A
City: Whitestone
State: New York
ZIP Code: 11357
Phone: (347) 337-9676

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Acupuncturist	171100000X	Primary

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