VYACHESLAV DABAKAROV

FRESH MEADOWS, NY
NPI1306477955
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy363LF0000X Nurse Practitioner, Family
(Licence: NY  345472)
Enumeration Date2020-02-03
Last Update Date2020-02-06
Business Address
VYACHESLAV DABAKAROV
7315 194TH ST
FRESH MEADOWS, NY 11366-1835
Phone number: 347-684-6605
Mailing Address
VYACHESLAV DABAKAROV
7315 194TH ST
FRESH MEADOWS, NY 11366-1835
Phone number: 347-684-6605
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