Diana Andrea Gaines, L.Ac
Acupuncturist in New York, NY. Individual provider (NPI-1).
NPI number1982253720
StatusActive
Last updated in NPPESSep 4, 2019
Details
- NPI
- 1982253720
- Entity type
- Individual (NPI-1)
- Name
- Diana Andrea Gaines
- Credential
- L.Ac
- Sex
- Female
- Sole proprietor
- Yes
- Enumeration date
- Sep 4, 2019
- Last updated
- Sep 4, 2019
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 171100000X | Acupuncturist | 006568-01 | NY | Yes |
Practice location
928 Broadway Ste 303New York, NY 10010-8155
Phone 917-686-4664
Mailing address
6 Burns St Apt 420Forest Hills, NY 11375-5247
Phone 917-686-4664
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