Healthcare Provider Details

I. General information

NPI: 1225672926
Provider Name (Legal Business Name): VICTORIA LAPCHUK L AC
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 11/05/2019
Last Update Date: 08/02/2024
Certification Date: 08/02/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

125 KINGS HWY
BROOKLYN NY
11223-1068
US

IV. Provider business mailing address

1125 BANNER AVE APT 8C
BROOKLYN NY
11235-5263
US

V. Phone/Fax

Practice location:
  • Phone: 917-420-2820
  • Fax:
Mailing address:
  • Phone: 718-975-4330
  • Fax: 718-975-4331

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code171100000X
TaxonomyAcupuncturist
License Number003030
License Number StateNY

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: