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1164751863
ROSTISLAV DAVYDOV
BROOKLYN, NY
NPI
1164751863
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
207Q00000X Family Medicine
(Licence: NY 267811)
Enumeration Date
2009-12-09
Last Update Date
2013-04-18
Business Address
-- ROSTISLAV DAVYDOV MD
1386 FLATBUSH AVE
BROOKLYN, NY 11210-1353
Phone number: 917-652-4020
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Mailing Address
-- ROSTISLAV DAVYDOV MD
1781 E 17TH ST APT D1
BROOKLYN, NY 11229-2135
Phone number: 917-733-8967
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