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Individual

PAVEL SHCHEGOL

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man

Contact information

Practice address
9520 63RD RD, SUITE O, REGO PARK, NY 11374-1160
(347) 813-4143
(347) 813-4146
Mailing address
9520 63RD RD, SUITE O, REGO PARK, NY 11374-1160
(347) 813-4143
(347) 813-4146

Taxonomy

Speciality
Code
Description
License number
State
163WP0808X
Psychiatric/Mental Health Registered Nurse
Primary
571217
NY

Other

Enumeration date
11/06/2015
Last updated
11/06/2015
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