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Individual

DR. ALLYSON K GRACIE

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
DACM, LAC

Contact information

Practice address
928 BROADWAY STE 401, NEW YORK, NY 10010-8150
(646) 242-5733
Mailing address
936 WEST END AVE APT G12, NEW YORK, NY 10025-3561
(164) 624-2573

Taxonomy

Speciality
Code
Description
License number
State
171100000X
Acupuncturist
Primary
00631
NY

Other

Enumeration date
05/08/2018
Last updated
05/08/2018
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