Provider Demographics
NPI:1841613015
Name:LOKSHIN, TIMUR (LAC)
Entity Type:Individual
Prefix:DR
First Name:TIMUR
Middle Name:
Last Name:LOKSHIN
Suffix:
Gender:M
Credentials:LAC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
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Other - Credentials:
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:516-377-8785
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
Is Sole Proprietor?:No
Enumeration Date:2014-01-24
Last Update Date:2018-11-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY25 005249171100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171100000XOther Service ProvidersAcupuncturist