RYDER J. CHAMPOUILLON

PORT JEFFERSON STATION, NY
NPI1265763072
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy171100000X Acupuncturist
(Licence: NY  003573-1)
Enumeration Date2010-01-18
Last Update Date2013-08-09
Business Address
MR. RYDER J. CHAMPOUILLON MSOM, L.AC
166 BERGEN ST
PORT JEFFERSON STATION, NY 11776-1910
Phone number: 631-629-5433
Mailing Address
MR. RYDER J. CHAMPOUILLON MSOM, L.AC
166 BERGEN ST
PORT JEFFERSON STATION, NY 11776-1910
Phone number: 631-525-2161
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