Individual
IZRA SERRANTES
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
12 E 41ST ST RM 1403, NEW YORK, NY 10017-6279
(646) 617-1237
Mailing address
12 W 104TH ST APT 1W, NEW YORK, NY 10025-4382
(914) 484-6157
Taxonomy
Speciality
Code
Description
License number
State
171100000X
Acupuncturist
Primary
007769
NY
Other
Enumeration date
07/26/2025
Last updated
07/26/2025
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