Individual
CARLY SORENSEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
320 W 90TH ST APT 2F, NEW YORK, NY 10024-1623
(646) 678-1407
Mailing address
320 W 90TH ST APT 2F, NEW YORK, NY 10024-1623
(646) 678-1407
Taxonomy
Speciality
Code
Description
License number
State
171100000X
Acupuncturist
Primary
005908-1
NY
Other
Enumeration date
02/03/2017
Last updated
02/03/2017
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