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Individual

DMITRY BORISOVICH DRAN

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man

Contact information

Practice address
800 POLY PL, BROOKLYN, NY 11209-7104
(347) 325-1129
Mailing address
800 POLY PL, BROOKLYN, NY 11209-7104
(347) 325-1129

Taxonomy

Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
31-1575142
HOSPITAL
NY
Enumeration date
08/08/2022
Last updated
08/08/2022
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