Individual
MRS. OKSANA FEDORTSI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
L.AC.
Contact information
Practice address
31 KENNINGTON ST, STATEN ISLAND, NY 10308-1700
(646) 240-3715
Mailing address
31 KENNINGTON ST, STATEN ISLAND, NY 10308-1700
Taxonomy
Speciality
Code
Description
License number
State
171100000X
Acupuncturist
Primary
003203
NY
Other
Enumeration date
10/24/2019
Last updated
10/24/2019
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