Individual
DUVENKY AZOR
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
P.A.
Contact information
Practice address
1469 E 48TH ST, BROOKLYN, NY 11234-3101
(917) 553-8806
Mailing address
1469 E 48TH ST, BROOKLYN, NY 11234-3101
(917) 553-8806
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
015431
NY
Other
Enumeration date
01/30/2012
Last updated
01/30/2012
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