Jessica Marie Moriarty, L.Ac.
Acupuncturist in Ballston Lake, NY. Individual provider (NPI-1).
NPI number1003080433
StatusActive
Last updated in NPPESNov 20, 2023
Details
- NPI
- 1003080433
- Entity type
- Individual (NPI-1)
- Name
- Ms. Jessica Marie Moriarty
- Credential
- L.Ac.
- Sex
- Female
- Sole proprietor
- Yes
- Enumeration date
- Apr 16, 2008
- Certification date
- Nov 20, 2023
- Last updated
- Nov 20, 2023
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 171100000X | Acupuncturist | 25002806 | NY | Yes |
Practice location
45 Kelley Farms RdBallston Lake, NY 12019-1814
Phone 518-371-5610
Mailing address
45 Kelley Farms RdBallston Lake, NY 12019-1814
Phone 518-371-5610 · Fax 518-371-5644
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