Individual
DANYLO FEDOTOV
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
621 BRIGHTON BEACH AVE STE 215, BROOKLYN, NY 11235-6405
(347) 728-7774
Mailing address
PO BOX 240430, BROOKLYN, NY 11224-0430
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
2108052DCA
NY
Other
Enumeration date
02/26/2024
Last updated
02/26/2024
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