Individual
ALLA MASLOVA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
3048 BRIGHTON 1ST ST, SUITE 6A, BROOKLYN, NY 11235-8080
(718) 769-4100
Mailing address
19 PERSHING STREET, STATEN ISLAND, NY 10305
(917) 981-1565
Taxonomy
Speciality
Code
Description
License number
State
207RN0300X
Nephrology Physician
Primary
216703
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
02312696
—
NY
Enumeration date
05/22/2006
Last updated
12/15/2016
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