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Individual

RYAN JOSEPH SMITH

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
L.AC.

Contact information

Practice address
250 W 57TH ST, SUITE 2128, NEW YORK, NY 10019
(917) 327-0827
Mailing address
1046 AMSTERDAM AVE, APT. 3, NEW YORK, NY 10025-1742
(917) 327-0827

Taxonomy

Speciality
Code
Description
License number
State
171100000X
Acupuncturist
000456
CT
171100000X
Acupuncturist
Primary
003870
NY
171100000X
Acupuncturist
237861
MA

Other

Enumeration date
03/05/2009
Last updated
03/05/2009
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