Individual
MS. JILLIAN ANN BLAKEWAY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
L.AC.
Contact information
Practice address
74 E 11TH ST, NEW YORK, NY 10003-6001
(212) 533-2255
(212) 533-2036
Mailing address
74 E 11TH ST, NEW YORK, NY 10003-6001
(212) 533-2255
(212) 533-2036
Taxonomy
Speciality
Code
Description
License number
State
171100000X
Acupuncturist
Primary
001546
NY
Other
Enumeration date
02/25/2013
Last updated
02/25/2013
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