MEDICARE: LIGHT TOUCH ACUPUNCTURE

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	003795	NY

General Provider Information

NPI Number	:	1295991438
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	LIGHT TOUCH ACUPUNCTURE

Provider Business Mailing Address
First Line	:	2540 SHORE BLVD APT 1G
Second Line	:
City	:	ASTORIA
State	:	NY
Zip	:	11102-3942
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	80 5TH AVE RM 1205
Second Line	:
City	:	NEW YORK
State	:	NY
Zip	:	10011-8016
Country	:	US
Telephone Number	:	917-373-5346
Fax Number	:

Authorized Official
Title or Position	:	PRESIDENT
Name	:	MRS. YULIYA CHERNYAK
Credential	:	L.AC.
Telephone Number	:	917-373-5346

Provider Enumeration Date	:	08/06/2008
Last Update Date	:	08/06/2008

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Directions to “LIGHT TOUCH ACUPUNCTURE ” Practice Location

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