Provider Demographics
NPI:1033687512
Name:TIMUR LOKSHIN LMT, LAC, PC.
Entity Type:Organization
Organization Name:TIMUR LOKSHIN LMT, LAC, PC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:TIMUR
Authorized Official - Middle Name:
Authorized Official - Last Name:LOKSHIN
Authorized Official - Suffix:
Authorized Official - Credentials:LAC
Authorized Official - Phone:845-218-0003
Mailing Address - Street 1:51 EAGLE CREST WAY
Mailing Address - Street 2:
Mailing Address - City:CHESTER
Mailing Address - State:NY
Mailing Address - Zip Code:10918-1761
Mailing Address - Country:US
Mailing Address - Phone:516-852-6149
Mailing Address - Fax:
Practice Address - Street 1:28 RAILROAD AVE # 4-D
Practice Address - Street 2:
Practice Address - City:WARWICK
Practice Address - State:NY
Practice Address - Zip Code:10990-1639
Practice Address - Country:US
Practice Address - Phone:845-218-0003
Practice Address - Fax:845-218-0003
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2018-11-02
Last Update Date:2018-11-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes171100000XOther Service ProvidersAcupuncturistGroup - Multi-Specialty