REVIVED SOUL MEDICAL PC

BROOKLYN, NY
NPI1821389941
Entity TypeOrganization
Authorized ContactIRINA KIBLITSKY
Owner
718-382-5060
Organization Subpart ?No
Primary Taxonomy2084P0800X Psychiatry & Neurology, Psychiatry
(Licence: NY  246958)
Enumeration Date2011-04-23
Last Update Date2011-04-23
Business Address
REVIVED SOUL MEDICAL PC
1901 AVENUE P 1A
BROOKLYN, NY 11229-1342
Phone number: 718-382-5060
Mailing Address
REVIVED SOUL MEDICAL PC
1901 AVENUE P 1A
BROOKLYN, NY 11229-1342
Phone number: 718-382-5060