MEDICARE: TREE OF LIFE ACUPUNCTURE, P.C.

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	000445	NY

General Provider Information

NPI Number	:	1225151350
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	TREE OF LIFE ACUPUNCTURE, P.C.

Provider Business Mailing Address
First Line	:	2935 W 5TH ST
Second Line	:	APT 21H
City	:	BROOKLYN
State	:	NY
Zip	:	11224-3965
Country	:	US
Telephone Number	:	212-533-1192
Fax Number	:

Provider Business Practice Location Address
First Line	:	32 UNION SQ E
Second Line	:	ROOM 804
City	:	NEW YORK
State	:	NY
Zip	:	10003-3209
Country	:	US
Telephone Number	:	212-533-1192
Fax Number	:

Authorized Official
Title or Position	:	ACUPUNCTURIST
Name	:	MR. MARK MOSHCHINSKY
Credential	:	L.AC. (NCCAOM)
Telephone Number	:	212-533-1192

Provider Enumeration Date	:	04/06/2007
Last Update Date	:	03/22/2011

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Directions to “TREE OF LIFE ACUPUNCTURE, P.C. ” Practice Location

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