YURIY OLEGOVICH IVANOV

NEW BRUNSWICK, NJ
NPI1790026011
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy208VP0000X Pain Medicine, Pain Medicine
(Licence: NJ  1790026011)
Additional Taxonomies2081P2900X Physical Medicine & Rehabilitation, Pain Medicine
(Licence: NY  276396)
Enumeration Date2013-03-12
Last Update Date2025-01-10
Business Address
YURIY OLEGOVICH IVANOV DO
125 PATERSON ST
NEW BRUNSWICK, NJ 08901-1962
Phone number: 732-235-7661
Mailing Address
YURIY OLEGOVICH IVANOV DO
1554 NORTHERN BLVD FL 4
MANHASSET, NY 11030-3053
Phone number: 516-321-6410