MEDICARE: MICHAEL OXMAN LAC

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	00210-1	NY

General Provider Information

NPI Number	:	1801022033
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MICHAEL OXMAN LAC

Provider Business Mailing Address
First Line	:	500 WILMOT RD
Second Line	:
City	:	NEW ROCHELLE
State	:	NY
Zip	:	10804-1018
Country	:	US
Telephone Number	:	917-589-1436
Fax Number	:

Provider Business Practice Location Address
First Line	:	91 GREENRIDGE AVE
Second Line	:
City	:	WHITE PLAINS
State	:	NY
Zip	:	10605-2419
Country	:	US
Telephone Number	:	917-589-1436
Fax Number	:

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

Provider Enumeration Date	:	06/02/2009
Last Update Date	:	06/02/2009

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