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Active
Organization subpart
No

Provider details

NPI number
Authorized official
DORINA DRUKMAN MD (DIRECTOR)
(212) 867-0405
Entity
Organization

Contact information

Practice address
1729 E 12TH ST, FL 4, BROOKLYN, NY 11229-1088
(718) 998-3020
(718) 998-9059
Mailing address
1729 E 12TH ST, FL 4, BROOKLYN, NY 11229-1088
(718) 998-3020
(718) 998-9059

Taxonomy

Speciality
Code
Description
License number
State
208100000X
Physical Medicine & Rehabilitation Physician
Primary
214360
NY

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
03360405
NY
Enumeration date
10/21/2011
Last updated
10/21/2011
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