Organization
PURE OBGYN SURGERY PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DIMITRY GONCHAROV DO (PRESIDENT)
(212) 201-1217
Entity
Organization
Contact information
Practice address
274 MADISON AVE RM 300, NEW YORK, NY 10016-0701
(212) 201-1217
Mailing address
274 MADISON AVE RM 300, NEW YORK, NY 10016-0701
(212) 201-1217
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
—
—
Other
Enumeration date
09/29/2017
Last updated
07/21/2022
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