CHARLES D TYSHKOV

BROOKLYN, NY
NPI1942626031
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy2084N0400X Psychiatry & Neurology, Neurology
(Licence: NY  288744)
Enumeration Date2014-03-12
Last Update Date2024-07-29
Business Address
CHARLES D TYSHKOV
263 7TH AVE
BROOKLYN, NY 11215
Phone number: 718-780-5260
Mailing Address
CHARLES D TYSHKOV
263 7TH AVE
BROOKLYN, NY 11215-7247
Phone number: