Individual
IYA SERGEYEVNA MARKOVA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
L.AC
Contact information
Practice address
1655 RICHMOND AVE, STATEN ISLAND, NY 10314-1582
(718) 682-1093
Mailing address
1655 RICHMOND AVE, STATEN ISLAND, NY 10314-1582
Taxonomy
Speciality
Code
Description
License number
State
171100000X
Acupuncturist
Primary
001322-01
NY
Other
Enumeration date
07/15/2024
Last updated
07/15/2024
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