Individual
DMITRI GORELOV
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DO
Contact information
Practice address
155 CRYSTAL RUN RD, MIDDLETOWN, NY 10941-4028
(845) 703-6999
(845) 703-6297
Mailing address
155 CRYSTAL RUN RD, MIDDLETOWN, NY 10941-4028
(845) 703-6999
(845) 703-6297
Taxonomy
Speciality
Code
Description
License number
State
2084N0400X
Neurology Physician
Primary
253361
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
03028508
—
NY
Enumeration date
06/11/2007
Last updated
09/09/2020
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