Organization
ANCIENT & MODERN ACUPUNCTURE P.C.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
YEVGENIY VOLOSHCHUK LAC (ACUPUNCTURIST)
(917) 658-0152
Entity
Organization
Contact information
Practice address
4131 RICHMOND AVE, STATEN ISLAND, NY 10312-5633
(718) 984-0024
(718) 984-4036
Mailing address
75 SMITH ST, PERTH AMBOY, NJ 08861-4413
(732) 442-5542
(732) 442-5568
Taxonomy
Speciality
Code
Description
License number
State
302R00000X
Health Maintenance Organization
Primary
002065
NY
Other
Enumeration date
09/30/2014
Last updated
05/25/2016
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