Provider Demographics
NPI:1295046944
Name:THUROFF, DARYL N (LAC, DIPLOM, LMT)
Entity type:Individual
Prefix:
First Name:DARYL
Middle Name:N
Last Name:THUROFF
Suffix:
Gender:F
Credentials:LAC, DIPLOM, LMT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2345 BELL BLVD
Mailing Address - Street 2:#LG
Mailing Address - City:BAYSIDE
Mailing Address - State:NY
Mailing Address - Zip Code:11360-2045
Mailing Address - Country:US
Mailing Address - Phone:646-765-5326
Mailing Address - Fax:
Practice Address - Street 1:250 W 26TH ST FL 4
Practice Address - Street 2:
Practice Address - City:NEW YORK
Practice Address - State:NY
Practice Address - Zip Code:10001-6894
Practice Address - Country:US
Practice Address - Phone:646-765-5326
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2010-06-28
Last Update Date:2011-10-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY004359171100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171100000XOther Service ProvidersAcupuncturist