Individual
SHACHAR ADI KORMAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MS LAC
Contact information
Practice address
5633 DOUGLASTON PKWY, DOUGLASTON, NY 11362-1538
(646) 463-1693
Mailing address
5633 DOUGLASTON PKWY, DOUGLASTON, NY 11362-1538
Taxonomy
Speciality
Code
Description
License number
State
171100000X
Acupuncturist
Primary
005641
NY
Other
Enumeration date
09/18/2015
Last updated
09/18/2015
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