Individual
MS. TATIANA V. PODDOUBNAIA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
L.AC.
Contact information
Practice address
150 BROADWAY, SUITE 1012, NEW YORK, NY 10038-4381
(212) 233-3255
(212) 233-3246
Mailing address
249 12TH ST, B, BROOKLYN, NY 11215-3919
(646) 505-7000
Taxonomy
Speciality
Code
Description
License number
State
171100000X
Acupuncturist
Primary
003178
NY
Other
Enumeration date
05/03/2007
Last updated
07/08/2007
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