# ANCIENT & MODERN ACUPUNCTURE P.C.

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1710375738
- **Authorized official:** MR. YEVGENIY VOLOSHCHUK LAC (ACUPUNCTURIST)
- **Authorized official phone:** (917) 658-0152

## Contact information

- **Practice address:** 1534 BROADWAY, BROOKLYN, NY 11221-4249
- **Practice address phone:** (718) 576-6266
- **Practice address fax:** (718) 576-6269
- **Mailing address:** 2800 COYLE ST, APT.321, BROOKLYN, NY 11235-1747
- **Mailing address phone:** (917) 658-0152

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 302R00000X | Health Maintenance Organization | 002065 | NY | Yes |

## Other

- **Enumeration date:** 12/29/2014
- **Last updated:** 12/29/2014