| NPI | 1689011223 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | GRIGORIY GLEYZER Lac 646-402-1792 |
| Organization Subpart ? | No |
| Primary Taxonomy | 171100000X Acupuncturist (Licence: NJ 25MZ00033300) |
| Additional Taxonomies | 171100000X Acupuncturist (Licence: NY 001835) |
| Enumeration Date | 2013-05-22 |
| Last Update Date | 2013-05-22 |