MEDICARE: NEHEMIAS NAVALO L. AC., RN

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	006344	NY

General Provider Information

NPI Number	:	1235696527
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	NEHEMIAS NAVALO L. AC., RN

Provider Business Mailing Address
First Line	:	90 N FRANKLIN ST
Second Line	:
City	:	HEMPSTEAD
State	:	NY
Zip	:	11550-3029
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	1358 SAINT JOHNS PL
Second Line	:
City	:	BROOKLYN
State	:	NY
Zip	:	11213-3843
Country	:	US
Telephone Number	:	347-350-4020
Fax Number	:

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

Provider Enumeration Date	:	02/22/2019
Last Update Date	:	02/22/2019

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