Provider Demographics
NPI:1588829709
Name:KIMURA-GALZINA, RUMIKO (L AC)
Entity Type:Individual
Prefix:MS
First Name:RUMIKO
Middle Name:
Last Name:KIMURA-GALZINA
Suffix:
Gender:F
Credentials:L AC
Other - Prefix:MS
Other - First Name:RUMIKO
Other - Middle Name:
Other - Last Name:KIMURA
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:99 HILLSIDE AVE STE R
Mailing Address - Street 2:
Mailing Address - City:WILLISTON PARK
Mailing Address - State:NY
Mailing Address - Zip Code:11596-2368
Mailing Address - Country:US
Mailing Address - Phone:516-882-1292
Mailing Address - Fax:
Practice Address - Street 1:99 HILLSIDE AVE
Practice Address - Street 2:SUITE K
Practice Address - City:WILLISTON PARK
Practice Address - State:NY
Practice Address - Zip Code:11596-2352
Practice Address - Country:US
Practice Address - Phone:516-882-1292
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2008-07-28
Last Update Date:2023-04-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY003839171100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171100000XOther Service ProvidersAcupuncturist