Individual
IYANNA BETAUDIER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
111 BROADWAY RM 501, NEW YORK, NY 10006-1974
(212) 402-7355
Mailing address
111 BROADWAY RM 501, NEW YORK, NY 10006-1974
(212) 402-7355
Taxonomy
Speciality
Code
Description
License number
State
171100000X
Acupuncturist
Primary
—
NY
Other
Enumeration date
11/06/2018
Last updated
11/06/2018
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