Individual
JONATHAN DABAKAROV
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
12333 83RD AVE APT 3001, KEW GARDENS, NY 11415-3440
(917) 434-3537
Mailing address
12333 83RD AVE APT 3001, KEW GARDENS, NY 11415-3440
(917) 434-3537
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
1844865
NY
Other
Enumeration date
03/20/2023
Last updated
03/20/2023
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