MEDICARE: MISS SARAH LOUISE CAMERON L.AC, L.M.T., DIPLAC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	171100000X	Acupuncturist	25004263	NY

General Provider Information

NPI Number	:	1780974915
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MISS SARAH LOUISE CAMERON L.AC, L.M.T., DIPLAC

Provider Business Mailing Address
First Line	:	347 5TH ST
Second Line	:
City	:	BROOKLYN
State	:	NY
Zip	:	11215-2806
Country	:	US
Telephone Number	:	917-825-6977
Fax Number	:

Provider Business Practice Location Address
First Line	:	347 5TH ST
Second Line	:
City	:	BROOKLYN
State	:	NY
Zip	:	11215-2806
Country	:	US
Telephone Number	:	917-825-6977
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	04/08/2011
Last Update Date	:	12/04/2017

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