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1942626031
CHARLES D TYSHKOV
BROOKLYN, NY
NPI
1942626031
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
2084N0400X Psychiatry & Neurology, Neurology
(Licence: NY 288744)
Enumeration Date
2014-03-12
Last Update Date
2024-07-29
Business Address
CHARLES D TYSHKOV
263 7TH AVE
BROOKLYN, NY 11215
Phone number: 718-780-5260
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Mailing Address
CHARLES D TYSHKOV
263 7TH AVE
BROOKLYN, NY 11215-7247
Phone number:
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