Individual
OLEG FABRIKANT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
L. AC.
Contact information
Practice address
19 W 21ST ST, SUITE 904, NEW YORK, NY 10010-6805
(212) 229-1220
Mailing address
30 WEST ST., APT. 17B, NEW YORK, NY 10004
(212) 513-0670
Taxonomy
Speciality
Code
Description
License number
State
171100000X
Acupuncturist
Primary
001973
NY
Other
Enumeration date
03/26/2007
Last updated
07/08/2007
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