Organization
BLOOMING HEALTH ACUPUNCTURE P.C
Active
Organization subpart
No
Provider details
NPI number
Authorized official
YULIYA LAGOS L.AC (PRESIDENT)
(917) 518-9050
Entity
Organization
Contact information
Practice address
8415 4TH AVE, BROOKLYN, NY 11209-4654
(917) 518-9050
Mailing address
558 DONGAN HILLS AVE, STATEN ISLAND, NY 10305-3337
(917) 518-9050
Taxonomy
Speciality
Code
Description
License number
State
171100000X
Acupuncturist
Primary
002823
NY
Other
Enumeration date
07/04/2015
Last updated
07/04/2015
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