Individual
MRS. IRINA KAZANSKAYA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
125 N CENTRAL AVE, VALLEY STREAM, NY 11580-3822
(516) 872-3100
Mailing address
1357 E 69TH ST, BROOKLYN, NY 11234-5714
(646) 339-4641
Taxonomy
Speciality
Code
Description
License number
State
171100000X
Acupuncturist
Primary
002628
NY
Other
Enumeration date
11/20/2019
Last updated
11/20/2019
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