Organization
DABAKAROV FAMILY HEALTH NURSE PRACTITIONER PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
VYACHESLAV DABAKAROV (OWNER)
(347) 684-6605
Entity
Organization
Contact information
Practice address
7315 194TH ST, FRESH MEADOWS, NY 11366-1835
(347) 684-6605
Mailing address
7315 194TH ST, FRESH MEADOWS, NY 11366-1835
(347) 684-6605
Taxonomy
Speciality
Code
Description
License number
State
261Q00000X
Clinic/Center
Primary
—
—
Other
Enumeration date
05/08/2023
Last updated
05/08/2023
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