Individual
ENENSAAUAS RASTRYGINA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
DAC, L.AC, LMT
Contact information
Practice address
17 W 45TH ST STE 501, NEW YORK, NY 10036-4922
(833) 768-3772
Mailing address
17 W 45TH ST STE 501, NEW YORK, NY 10036-4922
(833) 768-3772
Taxonomy
Speciality
Code
Description
License number
State
171100000X
Acupuncturist
Primary
005634
NY
225700000X
Massage Therapist
027892
NY
Other
Enumeration date
02/26/2016
Last updated
10/18/2020
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