Individual
MR. JEREMY VARNUM PULSIFER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.S.T.O.M., L.AC.
Contact information
Practice address
30 E 20TH ST, SUITE 5RW, NEW YORK, NY 10003-1310
(347) 665-7699
Mailing address
3618 21ST AVE, ASTORIA, NY 11105-1939
(347) 665-7699
Taxonomy
Speciality
Code
Description
License number
State
171100000X
Acupuncturist
Primary
25-003224
NY
Other
Enumeration date
11/05/2007
Last updated
11/05/2007
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