MEDICARE: ZOYA ZASLAVSKAYA L. AC.

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	171100000X	Acupuncturist	001968-1	NY

General Provider Information

NPI Number	:	1760512776
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	ZOYA ZASLAVSKAYA L. AC.

Provider Business Mailing Address
First Line	:	1909 AVENUE X
Second Line	:
City	:	BROOKLYN
State	:	NY
Zip	:	11235-3101
Country	:	US
Telephone Number	:	718-934-4720
Fax Number	:	718-934-0179

Provider Business Practice Location Address
First Line	:	2121 KINGS HWY
Second Line	:
City	:	BROOKLYN
State	:	NY
Zip	:	11229-1509
Country	:	US
Telephone Number	:	718-692-1110
Fax Number	:	718-951-2210

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	03/07/2007
Last Update Date	:	07/08/2007

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