Organization
ANCIENT & MODERN ACUPUNCTURE P.C.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. YEVGENIY VOLOSHCHUK LAC (ACUPUNCTURIST)
(917) 658-0152
Entity
Organization
Contact information
Practice address
1534 BROADWAY, BROOKLYN, NY 11221-4249
(718) 576-6266
(718) 576-6269
Mailing address
2800 COYLE ST, APT.321, BROOKLYN, NY 11235-1747
(917) 658-0152
Taxonomy
Speciality
Code
Description
License number
State
302R00000X
Health Maintenance Organization
Primary
002065
NY
Other
Enumeration date
12/29/2014
Last updated
12/29/2014
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