Individual
MS. ANASTASIYA KOFMAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.S.
Contact information
Practice address
2419 E 73RD ST, BROOKLYN, NY 11234-6623
(347) 374-1456
Mailing address
2419 E 73RD ST, BROOKLYN, NY 11234-6623
(347) 374-1456
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
563746111
NY
174400000X
Specialist
Primary
563747111
NY
Other
Enumeration date
03/02/2012
Last updated
10/08/2013
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