Individual
ELEONORA DARIBAYEVA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
309 RUTLEDGE ST STE 2B, BROOKLYN, NY 11211-7512
(347) 709-3133
Mailing address
309 RUTLEDGE ST STE 2B, BROOKLYN, NY 11211-7512
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
111111
NY
Other
Enumeration date
02/07/2019
Last updated
02/07/2019
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