Individual
MRS. SHARON ANN WYSE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
L.AC.
Contact information
Practice address
280 MADISON AVE, SUITE #508, NEW YORK, NY 10016-0801
(917) 603-8081
Mailing address
4248 64TH ST APT 3, WOODSIDE, NY 11377-5047
(917) 603-8081
Taxonomy
Speciality
Code
Description
License number
State
171100000X
Acupuncturist
Primary
02447
NY
Other
Enumeration date
07/14/2008
Last updated
05/27/2011
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