Individual
NICHOLAS BOZENKO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LAC
Contact information
Practice address
23 MILES AVE, ALBERTSON, NY 11507-1607
(516) 741-2605
Mailing address
23 MILES AVE, ALBERTSON, NY 11507-1607
Taxonomy
Speciality
Code
Description
License number
State
171100000X
Acupuncturist
Primary
004139-1
NY
Other
Enumeration date
06/17/2011
Last updated
06/19/2011
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