Individual
NICOLE THERESA KRUCK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
L.AC, LMT.
Contact information
Practice address
15 E 10TH ST APT 1C, NEW YORK, NY 10003-5931
(917) 338-1660
Mailing address
15 E 10TH ST APT 1C, NEW YORK, NY 10003-5931
(347) 628-8595
Taxonomy
Speciality
Code
Description
License number
State
171100000X
Acupuncturist
Primary
006186
NY
225700000X
Massage Therapist
010281
NY
Other
Enumeration date
11/07/2018
Last updated
11/07/2018
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