Individual
MS. MASAYO NISHIMURA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LAC, LMT
Contact information
Practice address
27 W 20TH ST STE 607, NEW YORK, NY 10011-3728
(917) 747-9128
Mailing address
350 W 88TH ST # 302, NEW YORK, NY 10024-2206
(917) 747-9128
Taxonomy
Speciality
Code
Description
License number
State
171100000X
Acupuncturist
Primary
006536
NY
Other
Enumeration date
11/28/2019
Last updated
11/28/2019
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