Provider Demographics
NPI:1730333428
Name:CULSHAW, ALISON E (LAC)
Entity type:Individual
Prefix:
First Name:ALISON
Middle Name:E
Last Name:CULSHAW
Suffix:
Gender:F
Credentials:LAC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:509 E 77TH ST
Mailing Address - Street 2:APT 4C
Mailing Address - City:NEW YORK
Mailing Address - State:NY
Mailing Address - Zip Code:10075-8809
Mailing Address - Country:US
Mailing Address - Phone:646-853-8431
Mailing Address - Fax:
Practice Address - Street 1:509 E 77TH ST
Practice Address - Street 2:APT 4C
Practice Address - City:NEW YORK
Practice Address - State:NY
Practice Address - Zip Code:10075-8809
Practice Address - Country:US
Practice Address - Phone:646-853-8431
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2008-11-08
Last Update Date:2008-11-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY003905171100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171100000XOther Service ProvidersAcupuncturist