Organization
AVANGUARD MEDICAL GROUP
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. JULIYA SIGALOVA R.N. (REGISTERED NURSE)
(917) 453-5884
Entity
Organization
Contact information
Practice address
2076 E 13TH ST, BROOKLYN, NY 11229-3304
(718) 382-7900
(718) 382-7901
Mailing address
2076 E 13TH ST, BROOKLYN, NY 11229-3304
(718) 382-7900
(718) 382-7901
Taxonomy
Speciality
Code
Description
License number
State
261QP3300X
Pain Clinic/Center
Primary
675855
NY
Other
Enumeration date
04/23/2014
Last updated
04/23/2014
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