MEDZDABE DESRAVINES, LAC, MSTOM, DIPL
Acupuncturist
Active
Individual
NPI: 1770131849
Specialties
| Specialty | Code | Primary | License |
|---|---|---|---|
| Acupuncturist | 171100000X | Yes | 006601-01 (NY) |
Frequently Asked Questions
NPI 1770131849 is the National Provider Identifier for MEDZDABE DESRAVINES, LAC, MSTOM, DIPL, a Acupuncturist provider located in Mineola, NY. This NPI was enumerated on August 30, 2019.
MEDZDABE DESRAVINES, LAC, MSTOM, DIPL practices at 200 OLD COUNTRY RD STE 140, Mineola, NY 11501.
Quick Facts
- NPI
- 1770131849
- Type
- Individual
- Enumerated
- Aug 30, 2019
- Last Updated
- Jul 10, 2024
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