EDUARD DOTLIBOV

BROOKLYN, NY
NPI1467795708
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy363LA2200X Nurse Practitioner, Adult Health
(Licence: NY  F306395)
Enumeration Date2013-04-05
Last Update Date2013-04-05
Business Address
-- EDUARD DOTLIBOV
2714 MERMAID AVE
BROOKLYN, NY 11224-2006
Phone number: 718-373-8961
Mailing Address
-- EDUARD DOTLIBOV
2714 MERMAID AVE
BROOKLYN, NY 11224-2006
Phone number: