Individual
MAIKO ANNE HATTORI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
L.AC.
Contact information
Practice address
80 BROAD ST, NEW YORK, NY 10004-2209
(212) 943-4999
Mailing address
784 PELHAMDALE AVE, NEW ROCHELLE, NY 10801-1416
(914) 380-2022
Taxonomy
Speciality
Code
Description
License number
State
171100000X
Acupuncturist
Primary
006242-1
NY
Other
Enumeration date
05/30/2019
Last updated
05/30/2019
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