Individual
SVETLANA GAVRILOVA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
8900 VAN WYCK EXPY, JAMAICA, NY 11418-2832
(718) 206-6894
(718) 657-0545
Mailing address
8900 VAN WYCK EXPY, JAMAICA, NY 11418-2832
(718) 206-7820
(718) 206-6786
Taxonomy
Speciality
Code
Description
License number
State
208100000X
Physical Medicine & Rehabilitation Physician
Primary
218421
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
02183746
—
NY
Enumeration date
03/22/2006
Last updated
01/25/2016
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