YURIY OLEGOVICH IVANOV

MANHASSET, NY
NPI1790026011
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy2081P2900X Physical Medicine & Rehabilitation, Pain Medicine
(Licence: NY  276396)
Enumeration Date2013-03-12
Last Update Date2022-06-26
Business Address
YURIY OLEGOVICH IVANOV DO
1554 NORTHERN BLVD BLDG FLOOR4
MANHASSET, NY 11030-3053
Phone number: 516-321-6410
Mailing Address
YURIY OLEGOVICH IVANOV DO
1554 NORTHERN BLVD FL 4
MANHASSET, NY 11030-3053
Phone number: 516-321-6410
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