Organization
GERALD WEIR, LAC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
IRINA KAZANSKAYA LAC (EMPLOYEE)
(516) 763-0049
Entity
Organization
Contact information
Practice address
125 N CENTRAL AVE, VALLEY STREAM, NY 11580-3822
(516) 763-0049
Mailing address
1357 EAST 69TH STREET, BROOKLYN, NY 11234
(516) 763-0049
Taxonomy
Speciality
Code
Description
License number
State
171100000X
Acupuncturist
Primary
002628
NY
Other
Enumeration date
10/20/2016
Last updated
10/20/2016
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