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MR. GENNADIY GOLDVEKHT

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
NP

Contact information

Practice address
3101 OCEAN PKWY APT 1A, BROOKLYN, NY 11235-8403
(718) 946-2481
(718) 266-5346
Mailing address
3045 BRIGHTON 12TH ST APT 3I, BROOKLYN, NY 11235-5742
(917) 945-9040

Taxonomy

Speciality
Code
Description
License number
State
363LA2200X
Adult Health Nurse Practitioner
Primary
F304424-1
NY

Other

Enumeration date
04/06/2018
Last updated
04/06/2018
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