Individual
LADA GALILOVA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
D.O.
Contact information
Practice address
5115 BEACH CHANNEL DR, FAR ROCKAWAY, NY 11691-1042
(718) 734-3020
Mailing address
1599 W 10TH ST APT 4C, BROOKLYN, NY 11204-6330
(347) 312-6760
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
256092
NY
Other
Enumeration date
05/23/2007
Last updated
05/14/2010
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