Individual
ANDREY YERSHOV
Active
Individual
ANDREY YERSHOV
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
L. AC.
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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