Individual
YURIY PERTSOVSKY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
2569 OCEAN AVE, BROOKLYN, NY 11229-4576
(718) 743-7090
Mailing address
259 DOVER ST, BROOKLYN, NY 11235-3721
Taxonomy
Speciality
Code
Description
License number
State
207RG0100X
Gastroenterology Physician
Primary
214362
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
02059612
—
NY
Enumeration date
06/01/2006
Last updated
04/05/2011
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