DMITRY KOTLYAR

STATEN ISLAND, NY
NPI1710551528
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy163WP0808X Registered Nurse, Psych/Mental Health
(Licence: NY  494209)
Enumeration Date2021-05-17
Last Update Date2021-05-17
Business Address
DMITRY KOTLYAR RN
777 SEAVIEW AVE
STATEN ISLAND, NY 10305-3409
Phone number: 718-667-2499
Mailing Address
DMITRY KOTLYAR RN
777 SEAVIEW AVE
STATEN ISLAND, NY 10305-3409
Phone number: 718-667-2499
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