Individual
MARY ELIZABETH WAKEFIELD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
250 E 63RD ST APT 607, NEW YORK, NY 10065-7615
(212) 593-1954
Mailing address
250 E 63RD ST APT 607, NEW YORK, NY 10065-7615
(212) 593-1954
Taxonomy
Speciality
Code
Description
License number
State
171100000X
Acupuncturist
Primary
001228-1
NY
Other
Enumeration date
12/04/2018
Last updated
12/04/2018
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