Individual
NIKOLAY POPOV
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
2879 W 12TH ST APT 9Q, BROOKLYN, NY 11224-3026
(843) 457-2795
Mailing address
2879 W 12TH ST APT 9Q, BROOKLYN, NY 11224-3026
(843) 457-2795
Taxonomy
Speciality
Code
Description
License number
State
171100000X
Acupuncturist
Primary
NONE OF ONE
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
A205-897-896
POLITICAL ASYLIM
NY
Enumeration date
08/14/2013
Last updated
08/14/2013
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