Individual
MS. JESSIE SHAW
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.S., L.AC., O.M.
Contact information
Practice address
242 E 5TH ST, NEW YORK, NY 10003-8501
(917) 864-3026
Mailing address
106 BEDFORD ST APT 4A, NEW YORK, NY 10014-5361
(917) 864-3026
Taxonomy
Speciality
Code
Description
License number
State
171100000X
Acupuncturist
Primary
002135
NY
Other
Enumeration date
05/13/2007
Last updated
07/08/2007
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