IGOR FATTAKHOV

FOREST HILLS, NY
NPI1346539145
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy183500000X Pharmacist
(Licence: NY  054429)
Enumeration Date2011-04-01
Last Update Date2011-04-01
Business Address
-- IGOR FATTAKHOV
6838 YELLOWSTONE BLVD APT A46
FOREST HILLS, NY 11375-3417
Phone number: 646-236-6325
Mailing Address
-- IGOR FATTAKHOV
6838 YELLOWSTONE BLVD APT A46
FOREST HILLS, NY 11375-3417
Phone number: