Healthcare Provider Details

I. General information

NPI: 1952523755
Provider Name (Legal Business Name): JARED HANSON N.D., L.AC.
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 05/02/2007
Last Update Date: 09/11/2025
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

50 LEXINGTON AVENUE, #LL2
NEW YORK NY
10010
US

IV. Provider business mailing address

237 EAST 26TH STREET, #2E
NEW YORK NY
10010
US

V. Phone/Fax

Practice location:
  • Phone: 917-607-5035
  • Fax:
Mailing address:
  • Phone: 917-607-5035
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code171100000X
TaxonomyAcupuncturist
License Number003505-1
License Number StateNY
# 2
Primary TaxonomyN
Taxonomy Code175F00000X
TaxonomyNaturopath
License Number099-0000222
License Number StateVT

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: