Individual
VYACHESLAV GOTLIB
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
L.AC , MSAC , RN
Contact information
Practice address
225 BROADWAY, #2018, NEW YORK, NY 10007-3001
(212) 693-4010
Mailing address
37 LEGION PL, STATEN ISLAND, NY 10305-2802
(718) 442-1356
Taxonomy
Speciality
Code
Description
License number
State
171100000X
Acupuncturist
Primary
003141
NY
Other
Enumeration date
12/13/2007
Last updated
12/13/2007
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