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Individual

MR. CLEVELAND EDWARD KERSH

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
L.AC, LMT

Contact information

Practice address
211 W 106TH ST APT 1B, NEW YORK, NY 10025-3671
(929) 276-1732
Mailing address
211 W 106TH ST APT 1B, NEW YORK, NY 10025-3671
(929) 276-1732

Taxonomy

Speciality
Code
Description
License number
State
171100000X
Acupuncturist
Primary
006121
NY
225700000X
Massage Therapist
027643
NY

Other

Enumeration date
06/03/2020
Last updated
06/03/2020
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