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1770131849
MEDZDABE DESRAVINES
MINEOLA, NY
NPI
1770131849
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
171100000X Acupuncturist
(Licence: NY 006601-01)
Enumeration Date
2019-08-30
Last Update Date
2024-07-10
Business Address
MEDZDABE DESRAVINES LAc, MSTOM, Dipl
200 OLD COUNTRY RD STE 140
MINEOLA, NY 11501-4273
Phone number: 516-794-2200
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Mailing Address
MEDZDABE DESRAVINES LAc, MSTOM, Dipl
335 OCEAN PKWY
BROOKLYN, NY 11218-4104
Phone number: 718-885-6671
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