Individual
ANDREW WYSOCKI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
139 FULTON ST RM 208, NEW YORK, NY 10038-2538
(212) 513-0437
Mailing address
420 FAIRVIEW AVE APT 4D, FORT LEE, NJ 07024-3880
(201) 564-8209
Taxonomy
Speciality
Code
Description
License number
State
171100000X
Acupuncturist
Primary
006169
NY
Other
Enumeration date
04/02/2018
Last updated
04/02/2018
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