Individual
DMITRIY GAGARKIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
701 N BROADWAY, SLEEPY HOLLOW, NY 10591-1020
(914) 366-3000
Mailing address
37 NEWTON ST, STATEN ISLAND, NY 10312-5909
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
316918
NY
Other
Enumeration date
03/26/2019
Last updated
11/09/2022
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