Individual
MRS. CARLA LESCANO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
19 W 21ST ST, SUITE 904, NEW YORK, NY 10010-6805
(551) 200-0170
Mailing address
15 WARREN ST, # 439, JERSEY CITY, NJ 07302-6456
(551) 200-0170
Taxonomy
Speciality
Code
Description
License number
State
171100000X
Acupuncturist
Primary
004180
NY
Other
Enumeration date
09/26/2009
Last updated
09/26/2009
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