MEDICARE: DR. MAYA SARKISYAN D.O.M.

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	AP2662	FL

General Provider Information

NPI Number	:	1376876706
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. MAYA SARKISYAN D.O.M.

Provider Business Mailing Address
First Line	:	5049 GREENWICH PRESERVE CT
Second Line	:
City	:	BOYNTON BEACH
State	:	FL
Zip	:	33436-5802
Country	:	US
Telephone Number	:	800-590-6292
Fax Number	:

Provider Business Practice Location Address
First Line	:	5049 GREENWICH PRESERVE CT
Second Line	:
City	:	BOYNTON BEACH
State	:	FL
Zip	:	33436-5802
Country	:	US
Telephone Number	:	800-590-6292
Fax Number	:

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

Provider Enumeration Date	:	09/16/2009
Last Update Date	:	09/16/2009

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