Organization
TEVA ACUPUNCTURE PC
Active
Organization
TEVA ACUPUNCTURE PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
IRINA LOGMAN LAC (PRESIDENT)
(917) 609-6063
Entity
Organization
Contact information
Practice address
65 BROADWAY STE 906, NEW YORK, NY 10006
(212) 379-6414
Mailing address
65 BROADWAY STE 906, NEW YORK, NY 10006-2530
(212) 379-6414
Taxonomy
Speciality
Code
Description
License number
State
171100000X
Acupuncturist
Primary
002938
NY
Other
Enumeration date
02/13/2017
Last updated
06/19/2019
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