Individual
STEPHANIE ROSE DESTINA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
373 BROADWAY STE 510, NEW YORK, NY 10013-3926
(914) 214-9011
Mailing address
373 BROADWAY STE 510, NEW YORK, NY 10013-3926
(914) 214-9011
Taxonomy
Speciality
Code
Description
License number
State
171100000X
Acupuncturist
Primary
006743
NY
Other
Enumeration date
04/13/2020
Last updated
04/13/2020
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