Individual
ATSUKO ISHIBASHI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
420 E 54TH ST APT 1513, NEW YORK, NY 10022-5390
(347) 673-9337
Mailing address
420 E 54TH ST APT 1513, NEW YORK, NY 10022-5390
(347) 673-9337
Taxonomy
Speciality
Code
Description
License number
State
171100000X
Acupuncturist
Primary
006537
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
TK8532772
PASSPORT
—
Enumeration date
08/21/2019
Last updated
12/16/2022
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