Individual
MARC D BYSTOCK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
L.AC.
Contact information
Practice address
134 W 26TH ST, SUITE 903, NEW YORK, NY 10001-6803
(917) 558-6450
Mailing address
121 5TH AVE, SUITE 121, BROOKLYN, NY 11217-3227
(917) 558-6450
Taxonomy
Speciality
Code
Description
License number
State
171100000X
Acupuncturist
Primary
001680-1
NY
Other
Enumeration date
05/31/2008
Last updated
05/31/2008
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