Individual
MISHELLE KONOVALOVA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
2543 HUBBARD ST FL 2, BROOKLYN, NY 11235-6222
(718) 404-5497
Mailing address
2543 HUBBARD ST FL 2, BROOKLYN, NY 11235-6222
(718) 404-5497
Taxonomy
Speciality
Code
Description
License number
State
171100000X
Acupuncturist
Primary
003814
NY
Other
Enumeration date
11/05/2019
Last updated
11/05/2019
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