Individual
SIRAJ VENJARA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
9508 AVENUE L, BROOKLYN, NY 11236-4811
(702) 907-7171
Mailing address
9508 AVENUE L, BROOKLYN, NY 11236-4811
Taxonomy
Speciality
Code
Description
License number
State
171100000X
Acupuncturist
Primary
006061-1
NY
Other
Enumeration date
08/10/2017
Last updated
08/10/2017
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