Organization
DK TOTAL MEDICAL PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
PAVEL YUTSIS MD (MEDICAL DIRECTOR)
(718) 275-7860
Entity
Organization
Contact information
Practice address
9530 QUEENS BLVD, REGO PARK, NY 11374-1136
(718) 275-7860
(718) 275-7882
Mailing address
9530 QUEENS BLVD, REGO PARK, NY 11374-1136
(718) 275-7860
(718) 275-7882
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
02368849
—
NY
Enumeration date
08/02/2006
Last updated
02/06/2008
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