Individual
MS. VIKTORIYA SIONOV
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA
Contact information
Practice address
6522 AVENUE M, BROOKLYN, NY 11234-5600
(917) 474-6782
Mailing address
6522 AVENUE M, BROOKLYN, NY 11234-5600
(917) 474-6782
Taxonomy
Speciality
Code
Description
License number
State
363AS0400X
Surgical Physician Assistant
Primary
23020391
NY
Other
Enumeration date
10/19/2016
Last updated
11/07/2016
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