Individual
MATTHEW TOLSTOY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
L.AC
Contact information
Practice address
142 W 113TH ST APT 2A, NEW YORK, NY 10026-3465
(609) 760-4367
Mailing address
142 W 113TH ST APT 2A, NEW YORK, NY 10026-3465
Taxonomy
Speciality
Code
Description
License number
State
171100000X
Acupuncturist
Primary
005991-1
NY
Other
Enumeration date
08/21/2017
Last updated
08/21/2017
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