Individual
MR. MITCHEL BRENT NENNER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
L.AC.
Contact information
Practice address
345 E 94TH ST, NEW YORK, NY 10128-5684
(646) 872-5514
Mailing address
545 W END AVE APT 2D, NEW YORK, NY 10024-2723
(646) 872-5514
Taxonomy
Speciality
Code
Description
License number
State
171100000X
Acupuncturist
Primary
001737
NY
Other
Enumeration date
05/17/2007
Last updated
07/08/2007
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