Individual
MISS TEODORA KARAIVANOVA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MSTOM
Contact information
Practice address
4150 48TH ST, SUNNYSIDE, NY 11104-1506
(646) 244-2934
Mailing address
4150 48TH ST, SUNNYSIDE, NY 11104-1506
(646) 244-2934
Taxonomy
Speciality
Code
Description
License number
State
171100000X
Acupuncturist
Primary
005399
NY
Other
Enumeration date
09/09/2014
Last updated
09/09/2014
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