ROMAN R DOMATOV

REGO PARK, NY
NPI1811502107
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy183500000X Pharmacist
(Licence: NY  066940)
Enumeration Date2020-09-13
Last Update Date2020-09-13
Business Address
Dr. ROMAN R DOMATOV
9618 67TH AVE
REGO PARK, NY 11374-5138
Phone number: 917-974-3739
Mailing Address
Dr. ROMAN R DOMATOV
9618 67TH AVE
REGO PARK, NY 11374-5138
Phone number: 917-974-3739