Individual
MR. ETHAN ARTHUR BAKER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LAC
Contact information
Practice address
309 W. 99TH ST., APT. 8B, NEW YORK CITY, NY 10025
(212) 496-8923
Mailing address
309 W. 99TH ST., APT. 8B, NEW YORK CITY, NY 10025
(212) 496-8923
Taxonomy
Speciality
Code
Description
License number
State
171100000X
Acupuncturist
Primary
006189-1
NY
Other
Enumeration date
02/27/2020
Last updated
02/27/2020
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