Individual
DAVID KOYENOV
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
445 LENOX RD, BROOKLYN, NY 11203-2017
(718) 270-1000
Mailing address
7508 172ND ST, FRESH MEADOWS, NY 11366-1423
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
033277
NY
Other
Enumeration date
02/18/2025
Last updated
02/18/2025
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