Individual
LARYSSA PANCHYSHYN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
L.AC.
Contact information
Practice address
86 THAYER ST, 2-I, NEW YORK, NY 10040-1150
(917) 882-7028
Mailing address
PO BOX 103, NEW YORK, NY 10276-0103
(917) 882-7028
Taxonomy
Speciality
Code
Description
License number
State
171100000X
Acupuncturist
Primary
004492
NY
Other
Enumeration date
01/09/2013
Last updated
01/09/2013
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