VYACHESLAV NISONOV

BROOKLYN, NY
NPI1386294577
Professional NameSLAVA NISONOV
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy225100000X Physical Therapist
(Licence: NY  041926)
Enumeration Date2019-09-19
Last Update Date2019-09-19
Business Address
VYACHESLAV NISONOV DPT
49 MONTROSE AVE
BROOKLYN, NY 11206-2580
Phone number: 718-473-3808
Mailing Address
VYACHESLAV NISONOV DPT
9740 62ND DR APT 7C
REGO PARK, NY 11374-1324
Phone number: 347-677-4360
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