ORKHAN MAMMADOV

STATEN ISLAND, NY
NPI1215556154
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy390200000X Student in an Organized Health Care Education/Training Program
Enumeration Date2020-04-10
Last Update Date2020-04-14
Business Address
ORKHAN MAMMADOV DO
475 SEAVIEW AVE
STATEN ISLAND, NY 10305-3436
Phone number: 718-226-8313
Mailing Address
ORKHAN MAMMADOV DO
475 SEAVIEW AVE
STATEN ISLAND, NY 10305-3498
Phone number: