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NPI Code Detail

MEDICARE: MR. VALERIY KOVALENKO DIPLOMATE IN ACUPUNC

MEDICARE:  MR. VALERIY  KOVALENKO  DIPLOMATE IN ACUPUNC
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
1171100000XAcupuncturist002641NY

General Provider Information

NPI Number : 1023187432
Entity Type Code : Individual
Provider Name (Legal Business Name) : MR. VALERIY KOVALENKO DIPLOMATE IN ACUPUNC
Provider Business Mailing Address
First Line : 2283 E 17TH ST
Second Line :
City : BROOKLYN
State : NY
Zip : 11229-4415
Country : US
Telephone Number : 718-376-0439
Fax Number : 718-376-0439
Provider Business Practice Location Address
First Line : 2283 E 17TH ST
Second Line :
City : BROOKLYN
State : NY
Zip : 11229-4415
Country : US
Telephone Number : 718-376-0439
Fax Number : 718-376-0439
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 11/07/2006
Last Update Date : 07/08/2007

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Directions to “ MR. VALERIY KOVALENKO DIPLOMATE IN ACUPUNC” Practice Location

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