Individual
AMULANG EDUARDOVNA MANTSYNOV
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
3130 BRIGHTON 6TH ST, BROOKLYN, NY 11235-6954
(917) 406-8388
Mailing address
3130 BRIGHTON 6TH ST, BROOKLYN, NY 11235-6954
(917) 406-8388
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
F351005-01
NY
Other
Enumeration date
04/24/2023
Last updated
04/24/2023
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