Individual
VLADYSLAVA DOKTOR
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
D.O.
Contact information
Practice address
256 WASHINGTON ST, BROOKLINE, MA 02445-6850
(857) 219-5375
Mailing address
327 BEACH 19TH ST, FAR ROCKAWAY, NY 11691-4423
Taxonomy
Speciality
Code
Description
License number
State
207N00000X
Dermatology Physician
Primary
284427
NY
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
01/28/2015
Last updated
09/14/2020
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