Individual
JACQUELINE SARA ABISROR
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MS LAC
Contact information
Practice address
928 BROADWAY STE 508, NEW YORK, NY 10010-6008
(856) 366-7364
Mailing address
172 SPRING ST APT 3, NEW YORK, NY 10012-3754
(856) 366-7364
Taxonomy
Speciality
Code
Description
License number
State
171100000X
Acupuncturist
Primary
006735-01
NY
Other
Enumeration date
09/09/2020
Last updated
09/09/2020
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