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General NPI Number Information
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NPI Number | 1699938167
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Entity Type | Individual
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Provider Name | KAREN E. GILES M.AC., L.AC.
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Gender | Female
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Dates
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Enumeration Date | 07/05/2008
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Last Update Date | 07/05/2008
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Provider Practice Location Address
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Address Line | 905 MAIN ST
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City | PORT JEFFERSON
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State | NY
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Zip | 11777-2201
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Country | US
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Telephone | 631-804-5902
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Fax |
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Provider Business Mailing Address
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Address Line | 9 WENDOVER RD
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City | SETAUKET
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State | NY
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Zip | 11733-3926
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Country | US
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Telephone | 631-804-5902
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Fax |
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 171100000X
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Taxonomy Name | Acupuncturist
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License Number | 003803-1
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License Number State | NY
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