Individual
DR. KSENIYA ROUDAKOVA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
451 CLARKSON AVE., KINGS COUNTY HOSPITAL, BROOKLYN, NY 11203
(718) 245-4729
Mailing address
451 CLARKSON AVE., DEPARTMENT OF SURGERY, BROOKLYN, NY 11203
(718) 245-4729
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
286549
NY
Other
Enumeration date
05/21/2013
Last updated
06/17/2019
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