ERNST FATTAKHOV

MIDDLETOWN, NY
NPI1164046744
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy207P00000X Emergency Medicine
(Licence: TX  U3839)
Additional Taxonomies390200000X Student in an Organized Health Care Education/Training Program
Enumeration Date2020-05-30
Last Update Date2023-07-11
Business Address
Dr. ERNST FATTAKHOV MD
707 E MAIN ST
MIDDLETOWN, NY 10940-2650
Phone number: 845-333-6333
Mailing Address
Dr. ERNST FATTAKHOV MD
200 CORPORATE BLVD
LAFAYETTE, LA 70508-3870
Phone number: 800-893-9698