Individual
ILDAR GADOL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
L.AC.,O.M.D
Contact information
Practice address
321 W 24TH ST OFC, NEW YORK, NY 10011-1503
(212) 645-6447
(646) 693-2253
Mailing address
321 W 24TH ST OFC, NEW YORK, NY 10011-1503
(212) 645-6447
(646) 693-2253
Taxonomy
Speciality
Code
Description
License number
State
171100000X
Acupuncturist
Primary
001280
NY
Other
Enumeration date
12/14/2016
Last updated
12/14/2016
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