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Contact Information

BOAZ ITSHAKY, MSOM
286 BEACON RD
BETHANY, CT06524
 Phone: 203-393-2773
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Acupuncturist

171100000X
Indicates primary specialty

NPI Profile & details for BOAZ ITSHAKY · (Male)

NPI # 1730218181
Status Active
Credentials MSOM
Entity Individual
Enumeration date 03/03/2007
Last updated 08/11/2018 - About 8 years ago
Sole proprietor 1 Yes
Identifiers
  • CT License # 000258
  • NY License # 002459-1
  • Other 20-1244899 TAX ID
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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