Individual
DR. ALEXANDER KUZMINOV
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
L.AC.
Contact information
Practice address
52 BROOK RUN LN, STAMFORD, CT 06905-3001
(203) 461-8463
(203) 461-8463
Mailing address
52 BROOK RUN LN, STAMFORD, CT 06905-3001
(203) 461-8463
Taxonomy
Speciality
Code
Description
License number
State
171100000X
Acupuncturist
Primary
000118
CT
171100000X
Acupuncturist
001144
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
P3595075
OXFORD
NY
Enumeration date
04/14/2008
Last updated
04/04/2018
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