Individual
LALKO BRASNAROV
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA
Contact information
Practice address
1910 ARTHUR AVE, BRONX, NY 10457-6305
(718) 466-8244
Mailing address
1910 ARTHUR AVE, BRONX, NY 10457-6305
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
009464
NY
Other
Enumeration date
05/30/2006
Last updated
01/26/2017
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