MR. Andre Misso, LAC

NPI #1609208016 in Kings Park, New York

Provider Information

NPI Number: 1609208016
Entity Type: Individual
Name: MR. Andre Misso, LAC
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Acupuncturist
Credential: LAC
Enumeration Date: Aug 7, 2013
Last Updated: Aug 7, 2013

Practice Location

Address: 4 LANDVIEW DR
City: Kings Park
State: New York
ZIP Code: 11754-2827
Phone: (631) 278-0654

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Acupuncturist	171100000X	Primary

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