Individual
LUCINDA LIN-DEGTYAREV
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LAC, LMT
Contact information
Practice address
928 BROADWAY STE 600, NEW YORK, NY 10010-8137
(212) 547-9477
Mailing address
134 FRANKEL BLVD, MERRICK, NY 11566-4033
Taxonomy
Speciality
Code
Description
License number
State
171100000X
Acupuncturist
Primary
006484-1
NY
225700000X
Massage Therapist
030977-1
NY
Other
Enumeration date
04/03/2019
Last updated
04/03/2019
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