MS. Marie A. Gonzales, L.AC ,MS

NPI #1972656932 in Nyack, New York

Provider Information

NPI Number: 1972656932
Entity Type: Individual
Name: MS. Marie A. Gonzales, L.AC ,MS
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Acupuncturist
Credential: L.AC ,MS
Enumeration Date: Jan 20, 2007
Last Updated: Jul 8, 2007

Practice Location

Address: 196 MAIN ST
Address 2: STORE FRONT
City: Nyack
State: New York
ZIP Code: 10960-2450
Phone: (845) 398-1312

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Acupuncturist	171100000X	Primary

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