Individual
BORIS KIRYUSHOV
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
L.AC.
Contact information
Practice address
8 SMULL PL, PORT WASHINGTON, NY 11050-2213
(516) 263-1557
Mailing address
8 SMULL PL, PORT WASHINGTON, NY 11050-2213
(516) 263-1557
Taxonomy
Speciality
Code
Description
License number
State
171100000X
Acupuncturist
Primary
002017
NY
Other
Enumeration date
08/02/2019
Last updated
08/02/2019
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