VITALY SEMENOV

BROOKLYN, NY
NPI1922575265
Former NameVITALI SIAMIONAU
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy363LF0000X Nurse Practitioner, Family
(Licence: NY  343680)
Enumeration Date2018-10-24
Last Update Date2018-10-24
Business Address
Mr. VITALY SEMENOV FNP-BC
7101 NARROWS AVE
BROOKLYN, NY 11209-1805
Phone number: 718-680-0657
Mailing Address
Mr. VITALY SEMENOV FNP-BC
130 AVENUE P STE 2P
BROOKLYN, NY 11204-6337
Phone number: 347-598-6259