Individual
TRAVALL CROOM
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
L.A.C
Contact information
Practice address
42 E 21ST ST, SUITE # 2, NEW YORK, NY 10010-7216
(212) 300-3410
Mailing address
42 E 21ST ST, SUITE # 2, NEW YORK, NY 10010-7216
(212) 300-3410
Taxonomy
Speciality
Code
Description
License number
State
171100000X
Acupuncturist
Primary
005363
NY
Other
Enumeration date
07/07/2014
Last updated
07/07/2014
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