Individual
MS. MIKA ICHIHARA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
L.AC.
Contact information
Practice address
124 E 40TH ST FL 12, NEW YORK, NY 10016-1723
(212) 242-8701
(917) 210-2906
Mailing address
124 E 40TH ST FL 12, NEW YORK, NY 10016-1723
(212) 242-8701
(917) 210-2906
Taxonomy
Speciality
Code
Description
License number
State
171100000X
Acupuncturist
Primary
3316
NY
Other
Enumeration date
06/02/2015
Last updated
06/02/2015
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