Most Relevant Information
Provider Data
| NPI Number: | 1003080433 |
| Provider Name: | JESSICA MARIE MORIARTY L.AC. |
| Entity Type: | Individual |
| Taxonomy Code: | 171100000X |
| Specialty: | Acupuncturist |
| License Number: | 25002806 |
Most Important Dates
| Enumeration Date: | 04/16/2008 |
| Last Updated: | 11/20/2023 |
Provider Practice Location
45 KELLEY FARMS RD
BALLSTON LAKE
NY
120191814
Practice Location Phone/Fax
| Phone: | 5183715610 |
| Fax: |
Provider Mailing Location
45 KELLEY FARMS RD
BALLSTON LAKE
NY
120191814
Provider Mailing Phone/Fax
| Phone: | 5183715610 |
| Fax: | 5183715644 |