Individual
ALEXIS HAGENSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LAC, MS
Contact information
Practice address
1133 BROADWAY, SUITE 1107, NEW YORK, NY 10010-7903
(347) 687-8662
Mailing address
188 LUDLOW ST, APT 5I, NEW YORK, NY 10002-1598
(847) 707-9394
Taxonomy
Speciality
Code
Description
License number
State
171100000X
Acupuncturist
Primary
—
—
Other
Enumeration date
09/07/2010
Last updated
09/07/2010
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