Individual
MR. ANDRII SMOLNIKOV
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
SA-C
Contact information
Practice address
4545 CENTER BLVD APT LONG, LONG ISLAND CITY, NY 11109-5901
(171) 875-3422
Mailing address
4545 CENTER BLVD APT LONG, LONG ISLAND CITY, NY 11109-5901
(718) 753-4227
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
P133128
NY
246ZC0007X
Surgical Assistant
21-689
—
Other
Enumeration date
04/26/2023
Last updated
06/21/2025
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