VYACHESLAV MAMANOV

FOREST HILLS, NY
NPI1154095677
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy363LA2200X Nurse Practitioner, Adult Health
(Licence: NY  310305)
Enumeration Date2021-08-07
Last Update Date2021-08-07
Business Address
VYACHESLAV MAMANOV NP
10218 64TH AVE
FOREST HILLS, NY 11375-1548
Phone number: 646-479-9710
Mailing Address
VYACHESLAV MAMANOV NP
10218 64TH AVE
FOREST HILLS, NY 11375-1548
Phone number:
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