Individual
AMIRA BOBROV
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
HSC T-11 / 040, STONY BROOK UNIVERSITY HOSPITAL DEPARTMENT OF PEDIATRIC, STONY BROOK, NY 11794-8111
(631) 444-2020
(631) 444-2894
Mailing address
3645 HOWELL FERRY RD, DULUTH, GA 30096-3179
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
86724
GA
Other
Enumeration date
03/29/2017
Last updated
12/11/2020
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