Individual
IGOR MAYZENBERG
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
ACUPUNCTURIST
Contact information
Practice address
2166 79TH ST, BROOKLYN, NY 11214-1909
(718) 837-5361
(718) 256-5359
Mailing address
1650 W 10TH ST APT B2, BROOKLYN, NY 11223-1152
(718) 837-5361
(718) 256-5359
Taxonomy
Speciality
Code
Description
License number
State
171100000X
Acupuncturist
Primary
000408
NY
Other
Enumeration date
12/04/2019
Last updated
12/04/2019
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