Individual
DMITRIY TONKONOGIY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
RPA-C
Contact information
Practice address
445 LENOX RD, BROOKLYN, NY 11203-2017
(718) 270-2111
Mailing address
PO BOX 350707, BROOKLYN, NY 11235-0707
(718) 753-7302
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
010775-1
NY
363AS0400X
Surgical Physician Assistant
Primary
010775-1
NY
Other
Enumeration date
01/03/2007
Last updated
06/18/2008
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