Individual
OLEG BAZYLKO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LAC
Contact information
Practice address
27W COLUMBIA STREET, HEMPSTEAD, NY 11550
(516) 489-4666
Mailing address
1580 EAST 18TH STREET APT 5E, BROOKLYN, NY 11230
(917) 279-6405
Taxonomy
Speciality
Code
Description
License number
State
171100000X
Acupuncturist
Primary
001778
NY
Other
Enumeration date
03/20/2007
Last updated
07/08/2007
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