Individual
VITALIY FAYNGERSH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
L.AC
Contact information
Practice address
58 VALLEY GREENS DR, VALLEY STREAM, NY 11581-3635
(516) 996-7103
Mailing address
58 VALLEY GREENS DR, VALLEY STREAM, NY 11581-3635
(516) 996-7103
Taxonomy
Speciality
Code
Description
License number
State
171100000X
Acupuncturist
Primary
00002754
NY
Other
Enumeration date
06/01/2016
Last updated
01/03/2019
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