Individual
DAVID KHAYIM GULAMOV
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PA
Contact information
Practice address
9841 65TH AVE, 3D, REGO PARK, NY 11374-3450
(917) 656-1112
Mailing address
9841 65TH AVE, 3D, REGO PARK, NY 11374-3450
(917) 656-1112
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
018898
NY
Other
Enumeration date
08/25/2015
Last updated
08/25/2015
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