Individual
MS. STEPHANIE PAIGE BOURASSA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MSTOM, LAC
Contact information
Practice address
24-32 UNION SQUARE EAST, SUITE 115, NEW YORK, NY 10003
(917) 744-0417
Mailing address
24-32 UNION SQUARE EAST, SUITE 1115, NEW YORK, NY 10003
(917) 744-0417
Taxonomy
Speciality
Code
Description
License number
State
171100000X
Acupuncturist
Primary
004684
NY
Other
Enumeration date
07/23/2012
Last updated
09/25/2017
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