Individual
SHANE DENNIS RUTKOWSKI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LAC
Contact information
Practice address
32 UNION SQ E STE 612N, NEW YORK, NY 10003-3243
(970) 616-0806
Mailing address
114 W 73RD ST APT 4A, NEW YORK, NY 10023-3043
(970) 616-0806
Taxonomy
Speciality
Code
Description
License number
State
171100000X
Acupuncturist
Primary
006525
NY
171100000X
Acupuncturist
ACU.0002746
CO
Other
Enumeration date
05/13/2019
Last updated
05/06/2024
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