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Individual

MRS. ADELINA GURGOV

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
44 COURT ST STE 1217, BROOKLYN, NY 11201-4410
(347) 970-2188
Mailing address
10510 62ND RD APT 4G, FOREST HILLS, NY 11375-1122
(917) 519-0241

Taxonomy

Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
NY

Other

Enumeration date
11/28/2022
Last updated
11/28/2022
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