Mr. Ryder J. Champouillon, MSOM, LAC
Mr. Ryder J. Champouillon, MSOM, LAC is an Acupuncturist in Port Jefferson Station, New York. Licensed in New York. Registered with an NPI since 2010.
- Licensed in
- NY
- In the registry since
- 2010
What do these letters mean?
- LAC — Licensed Associate Counselor
- A counsellor practising under supervision toward full licensure. In some states the same letters mean Licensed Acupuncturist.
Practice location Address checks out
166 Bergen StPort Jefferson Station, NY 11776-1910
Phone: (631) 629-5433
Show map & directions
Directions in Google Maps · Apple Maps · OpenStreetMap
Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Acupuncturist (primary) | Taxonomy 171100000X · Licence 003573-1 (NY) |
|---|
Record details
| NPI number | 1265763072 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Male |
| Credentials | MSOM , LAC |
| Sole proprietor | No |
| NPI enumerated | January 18, 2010 |
| Last updated in NPPES | August 9, 2013 |
Other providers in Port Jefferson Station
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Dana Adamkiewicz
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-
Amalia Haddad Licensed Acupuncturist, PC
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Miss. Melissa E Germano, LAC
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Amalia Haddad
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MS. Carol A. Palmer I, LAC, MS
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