Individual
ANDREY YERSHOV
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
L. AC.
Contact information
Practice address
303 5TH AVE, SUITE 1501, NEW YORK, NY 10016-6601
(646) 369-0160
Mailing address
208 W 23RD ST, #1106, NEW YORK, NY 10011-2306
(646) 369-0160
Taxonomy
Speciality
Code
Description
License number
State
171100000X
Acupuncturist
Primary
000940
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
12026112
CAQH
—
01
—
7749K1
EMPIRE BLUE CROSS BLUE SHIELD
—
Enumeration date
02/17/2010
Last updated
02/17/2010
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