Organization
OB ACUPUNCTURE PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
OLEG BAZYLKO LAC (PRESIDENT)
(516) 292-2993
Entity
Organization
Contact information
Practice address
1 FULTON AVE, SUITE 10, HEMPSTEAD, NY 11550-3646
(516) 292-2993
Mailing address
2940 W 5TH ST, 18B, BROOKLYN, NY 11224-3832
Taxonomy
Speciality
Code
Description
License number
State
171100000X
Acupuncturist
Primary
—
—
Other
Enumeration date
01/23/2011
Last updated
01/23/2011
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