Individual
MS. JENNIFER CHELLIS TAVERAS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
L.AC.
Contact information
Practice address
66 PINEHURST AVE BSMT 1A, NEW YORK, NY 10033-4527
(917) 364-9431
Mailing address
66 PINEHURST AVE BSMT 1A, NEW YORK, NY 10033-4527
(917) 364-9431
Taxonomy
Speciality
Code
Description
License number
State
171100000X
Acupuncturist
Primary
001528-01
NY
Other
Enumeration date
10/10/2006
Last updated
05/09/2023
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