Individual
ARKADIY TAKHALOV
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
11206 71ST RD, FOREST HILLS, NY 11375-4643
(718) 520-8585
(718) 520-8688
Mailing address
11220 71ST RD, FOREST HILLS, NY 11375-4643
(718) 520-7776
(718) 520-8688
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
221398
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
02169102
—
NY
Enumeration date
09/20/2006
Last updated
09/30/2020
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