Organization
COREY DISTASIO, L.AC., PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
COREY DI STASIO L.AC. (OWNER)
(917) 881-4878
Entity
Organization
Contact information
Practice address
217 E 22ND ST APT 32, NEW YORK, NY 10010-4614
(917) 881-4878
Mailing address
217 E 22ND ST APT 32, NEW YORK, NY 10010-4614
(917) 881-4878
Taxonomy
Speciality
Code
Description
License number
State
171100000X
Acupuncturist
Primary
—
—
Other
Enumeration date
12/21/2023
Last updated
12/21/2023
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