Individual
JIECHENG TAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
84 ELIZABETH ST, NEW YORK, NY 10013-5519
(212) 431-7805
(212) 334-7212
Mailing address
84 ELIZABETH ST, NEW YORK, NY 10013-5519
(212) 431-7805
(212) 334-7212
Taxonomy
Speciality
Code
Description
License number
State
171100000X
Acupuncturist
Primary
002640
NY
Other
Enumeration date
11/20/2008
Last updated
11/20/2008
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