Organization
DESRAVINES ACUPUNCTURE PC
Active
Organization
DESRAVINES ACUPUNCTURE PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MEDZDABE DESRAVINES LAC (OWNER)
(718) 885-6671
Entity
Organization
Contact information
Practice address
200 OLD COUNTRY RD STE 140, MINEOLA, NY 11501-4273
(516) 794-2200
(718) 949-1576
Mailing address
1336 ELDER AVE, BRONX, NY 10472-1502
(718) 885-6671
Taxonomy
Speciality
Code
Description
License number
State
171100000X
Acupuncturist
Primary
—
—
Other
Enumeration date
08/09/2024
Last updated
06/17/2026
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