Jacqueline Fazzalari L.AC

NPI 1053740712 - Acupuncturist - 171100000X

NPI Details
NPI 1053740712
Gender Female
Enumeration Date 11/04/2013
Last Updated 11/04/2013
Entity Type Individual
Active Over 3 years ago
Practice Location
3749 91ST ST
2ND FLOOR
JACKSON HEIGHTS NY, 11372-7927, US
Phone (718) 775-8990
Fax
Business Location
5285 72ND PL
APT 2
MASPETH NY, 11378-1515, US
Phone (917) 608-2098
Fax
Toxanomy
Taxonomy Code 171100000X
License State New York
License Number 005209
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According to our database, Mrs. Jacqueline Fazzalari L.AC NPI is 1053740712, taxonomy code is 171100000X and license number is 005209, license state is located at New York. Jacqueline Fazzalari L.AC physically located at 3749 91st St, Jackson Heights NY, 11372-7927. NPI Number Jacqueline Fazzalari L.AC has the Individual type.

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1053740712 NPI number is provided on an as is basis without warranty of any kind. 1053740712 is maintained by the National Plan & Provider Enumeration System. The contents of Jacqueline Fazzalari L.AC are for informational purposes only.