VYACHESLAV DAVYDOV

ELMHURST, NY
NPI1356950497
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy363A00000X Physician Assistant
(Licence: NY  025364)
Enumeration Date2020-07-24
Last Update Date2020-08-14
Business Address
VYACHESLAV DAVYDOV PA-C
7901 BROADWAY
ELMHURST, NY 11373-1329
Phone number: 718-334-4000
Mailing Address
VYACHESLAV DAVYDOV PA-C
7901 BROADWAY
ELMHURST, NY 11373-1329
Phone number: 718-334-2343