Individual
JEN RESNICK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MSTOM, L.AC.
Contact information
Practice address
36 RIVINGTON ST, NEW YORK, NY 10002
(212) 945-7300
Mailing address
367 CLINTON ST APT 3, BROOKLYN, NY 11231-3602
(510) 205-6783
Taxonomy
Speciality
Code
Description
License number
State
171100000X
Acupuncturist
Primary
NYS-003223
NY
Other
Enumeration date
03/01/2008
Last updated
06/13/2019
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