| Organization Name: | VITAL MERIDIAN ACUPUNCTURE P.C. |
| NPI Number: | 1457736456 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | LUDMILA BOBCHYNSKA (ACUPUNCTURIST) |
| Mailing Address: | 134 Beach 98th St Apt.1 Rockaway Park |
| State: | NY US |
| Postal Code: | 116942851 |
| Phone Number: | 9175612168 |
| Fax Number: | |
| NPI Enumeration Date: | 07/21/2015 |
| NPI Last Update Date: | 07/21/2015 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 261QC1500X |
| License Number: | 002381-1 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | NY |
| Taxonomy Type: | Ambulatory Health Care Facilities |
| Taxonomy Classification: | Clinic/Center |
| Taxonomy Specialization: | Community Health |
| Taxonomy Definition: | |