MEDICARE: AA ACUPUNCTURE PC

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	001969-1	NY

General Provider Information

NPI Number	:	1881865491
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	AA ACUPUNCTURE PC

Provider Business Mailing Address
First Line	:	2030 STUART ST
Second Line	:
City	:	BROOKLYN
State	:	NY
Zip	:	11229-3706
Country	:	US
Telephone Number	:	718-510-7962
Fax Number	:

Provider Business Practice Location Address
First Line	:	2030 STUART ST
Second Line	:
City	:	BROOKLYN
State	:	NY
Zip	:	11229-3706
Country	:	US
Telephone Number	:	718-510-7962
Fax Number	:

Authorized Official
Title or Position	:	PRESIDENT
Name	:	MRS. ALLA ANOSHKINA
Credential	:	L. AC.
Telephone Number	:	718-510-7962

Provider Enumeration Date	:	03/22/2008
Last Update Date	:	03/22/2008

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