Provider Demographics
NPI:1992302087
Name:OPTIMUM HEALTH ACUPUNCTURE, P.C.
Entity type:Organization
Organization Name:OPTIMUM HEALTH ACUPUNCTURE, P.C.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:VADIM
Authorized Official - Middle Name:
Authorized Official - Last Name:DOLSKY
Authorized Official - Suffix:
Authorized Official - Credentials:LAC
Authorized Official - Phone:718-974-3284
Mailing Address - Street 1:6336 99TH ST FL 1
Mailing Address - Street 2:
Mailing Address - City:REGO PARK
Mailing Address - State:NY
Mailing Address - Zip Code:11374-1979
Mailing Address - Country:US
Mailing Address - Phone:718-509-9424
Mailing Address - Fax:718-509-9242
Practice Address - Street 1:1963 GRAND CONCOURSE FL 2
Practice Address - Street 2:
Practice Address - City:BRONX
Practice Address - State:NY
Practice Address - Zip Code:10453-4995
Practice Address - Country:US
Practice Address - Phone:718-509-9424
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2020-10-02
Last Update Date:2023-11-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes171100000XOther Service ProvidersAcupuncturistGroup - Single Specialty