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Individual

DR. MAGAMET RUSLAN BORLAKOV

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
PHD

Contact information

Practice address
352 7TH AVE FL 12A, NEW YORK, NY 10001-5893
(212) 377-6437
Mailing address
352 7TH AVE FL 12A, NEW YORK, NY 10001-5893
(212) 377-6437

Taxonomy

Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
022568
NY

Other

Enumeration date
10/12/2011
Last updated
03/16/2020
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