Individual
COREY DI STASIO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
L.AC.
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
003428
NY
Other
Enumeration date
03/09/2008
Last updated
12/21/2023
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