Individual
KATERINA NAUMENKO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MD, LAC
Contact information
Practice address
301 W STATE ST, ITHACA, NY 14850-5431
(607) 275-9697
(607) 697-0153
Mailing address
301 W STATE ST, ITHACA, NY 14850-5431
(607) 275-9697
(607) 697-0153
Taxonomy
Speciality
Code
Description
License number
State
171100000X
Acupuncturist
Primary
006598
NY
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
05/24/2012
Last updated
09/20/2019
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