Individual
ALEKSANDR GURGOV
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
740 E 9TH ST, BROOKLYN, NY 11230-2202
(917) 797-3290
Mailing address
740 E 9TH ST, BROOKLYN, NY 11230-2202
(917) 797-3290
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
F346734-01
NY
Other
Enumeration date
11/08/2020
Last updated
11/08/2020
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