Individual
MR. SHUHEI MATSUO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LAC
Contact information
Practice address
211 E 53RD ST, NEW YORK, NY 10022-4803
(917) 543-3418
Mailing address
66 WALES AVE APT 3, JERSEY CITY, NJ 07306-6412
(917) 543-3418
Taxonomy
Speciality
Code
Description
License number
State
171100000X
Acupuncturist
Primary
005444-01
NY
Other
Enumeration date
10/19/2021
Last updated
10/19/2021
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