Individual
JAYSON ADAM LUIS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
L.AC, DIPL. O.M.
Contact information
Practice address
1114 GERARD AVE APT 22, BRONX, NY 10452-8829
(718) 772-5987
Mailing address
1114 GERARD AVE APT 22, BRONX, NY 10452-8829
(718) 772-5987
Taxonomy
Speciality
Code
Description
License number
State
171100000X
Acupuncturist
Primary
25 003651
NY
Other
Enumeration date
11/09/2007
Last updated
11/09/2007
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