NPI 1730582032

Ancient & Modern Acupuncture P.C.

Organisation Health Maintenance Organization Staten Island, NY

Practice location

Address: 4131 Richmond Ave, Staten Island, NY 10312-5633
Phone: (718) 984-0024
Fax: (718) 984-4036
Mailing address: 75 Smith St, Perth Amboy, NJ 08861-4413

Authorised official

Name: Yevgeniy Voloshchuk
Title: Acupuncturist
Phone: (917) 658-0152

Registered specialties

Health Maintenance Organization Primary

Managed Care Organizations Taxonomy 302R00000X Licence 002065 (NY)

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Registry record

NPI: 1730582032
Entity type: Organization
NPI issued: 30 Sep 2014
Record last updated: 25 May 2016

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.