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Individual

ALEKSANDR GONCHAROV

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
P.T.

Contact information

Practice address
1702 AVENUE Z APT 5B, BROOKLYN, NY 11235-3657
(347) 784-4530
(347) 673-7904
Mailing address
2530 OCEAN AVE APT 1D, BROOKLYN, NY 11229-3928
(347) 784-4530
(347) 673-7904

Taxonomy

Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
33232
NY

Other

Enumeration date
11/01/2010
Last updated
09/10/2020
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