Individual
DR. DIMITRY GONCHAROV
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DO
Contact information
Practice address
274 MADISON AVE, SUITE 300, NEW YORK, NY 10016-0701
(212) 201-1217
(646) 843-7617
Mailing address
274 MADISON AVE, SUITE 300, NEW YORK, NY 10016-0701
(212) 201-1217
(646) 843-7617
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
Primary
269283
NY
Other
Enumeration date
01/26/2011
Last updated
08/03/2016
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