MR. Jonathan S Thaler, NYS L.AC.

NPI #1790821239 in Shrub Oak, New York

Provider Information

NPI Number: 1790821239
Entity Type: Individual
Name: MR. Jonathan S Thaler, NYS L.AC.
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Acupuncturist
Credential: NYS L.AC.
Enumeration Date: Jan 30, 2007
Last Updated: Jul 8, 2007

Practice Location

Address: 1220 N RIDGE RD
Address 2: POB 611
City: Shrub Oak
State: New York
ZIP Code: 10588-1033
Phone: (914) 528-8770

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Acupuncturist	171100000X	Primary

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