Tia Trivisonno, L.AC

NPI #1538442256 in Glen Head, New York

Provider Information

NPI Number
1538442256
Entity Type
Individual
Name
Tia Trivisonno, L.AC
Gender
Not Specified
Sole Proprietor
No
Primary Specialty
Acupuncturist
Credential
L.AC
Enumeration Date
Sep 20, 2011
Last Updated
Sep 20, 2011

Practice Location

Address
997 GLEN COVE AVE
ZIP Code
11545-1593
Phone
(516) 801-1405

Specialties & Taxonomy Codes

Specialty
Acupuncturist

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