Individual
DMITRIY ZADUSHLIVY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
4802 10TH AVE, BROOKLYN, NY 11219-2916
(917) 733-6923
Mailing address
2425 KINGS HWY APT F8, BROOKLYN, NY 11229-1638
(917) 733-6923
(718) 645-7970
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
229221
NY
Other
Enumeration date
05/17/2006
Last updated
09/04/2025
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