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Individual

DR. VLADIMIR ONEFATER

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
9785 QUEENS BLVD, REGO PARK, NY 11374
(718) 261-9100
(718) 897-2915
Mailing address
9785 QUEENS BLVD, REGO PARK, NY 11374-3319
(718) 261-9100
(718) 897-2915

Taxonomy

Speciality
Code
Description
License number
State
173000000X
Legal Medicine
220248
NY
174400000X
Specialist
220248
NY
208100000X
Physical Medicine & Rehabilitation Physician
Primary
220248
NY

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
02133017
NY
Enumeration date
03/15/2006
Last updated
03/10/2021
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